Individual ProviderCarla DanielsCounselorBehavioral Health & Social Service ProvidersPractice Address3961 Fish Hatchery Rd, Gaston, SC 29053-9038(803) 755-2261(803) 399-9201PECOS EnrollmentBased on the most recent information from CMS, provider Carla Daniels does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821517483Provider TypeIndividualFull NameDaniels, CarlaTitleMs.CredentialLSWGenderFemaleSole ProprietorYesEnumeration Date9/14/2017Last Updated9/14/2017Contact InformationPractice LocationPractice Address3961 Fish Hatchery Rd, Gaston, SC 29053-9038Phone(803) 755-2261FaxUnlisted FaxMailing LocationMailing Address108 Palmetto Park Blvd Ste D, Lexington, SC 29072-7969Phone(803) 399-9201Fax(803) 808-5392Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer