Individual ProviderCasonya WilliamsCase Manager/Care CoordinatorOther Service ProvidersPractice Address607 J W Davis Dr, Hammond, LA 70403(985) 351-4501PECOS EnrollmentBased on the most recent information from CMS, provider Casonya Williams 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 ID1861875379Provider TypeIndividualFull NameWilliams, CasonyaGenderFemaleSole ProprietorNoEnumeration Date7/1/2015Last Updated8/1/2018Contact InformationPractice LocationPractice Address607 J W Davis Dr, Hammond, LA 70403Phone(985) 351-4501FaxUnlisted FaxMailing LocationMailing Address607 J W Davis Dr, Hammond, LA 70403-3941Phone(985) 351-4501FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisianaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1861875379DescriptionMedicaidIssuerUnlistedLouisiana