Individual ProviderTerri L BoudreauxCase Manager/Care CoordinatorOther Service ProvidersPractice Address1417 W Morris Ave Ste E, Hammond, LA 70403-3854(985) 662-3799PECOS EnrollmentBased on the most recent information from CMS, provider Terri L Boudreaux 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 8 days ago.Profile DetailsProvider ID1831818319Provider TypeIndividualFull NameBoudreaux, Terri LGenderFemaleSole ProprietorNoEnumeration Date8/26/2022Last Updated10/19/2022Contact InformationPractice LocationPractice Address1417 W Morris Ave Ste E, Hammond, LA 70403-3854Phone(985) 662-3799Fax(985) 662-3829Mailing LocationMailing Address1417 W Morris Ave Ste E, Hammond, LA 70403-3854Phone(985) 662-3799Fax(985) 662-3829Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerLouisiana