Individual ProviderTrevor TennisonCounselorBehavioral Health & Social Service ProvidersPractice Address1701 White St, Mccomb, MS 39648-2711(769) 217-2810(601) 705-1901PECOS EnrollmentBased on the most recent information from CMS, provider Trevor Tennison 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 yesterday at 9:15 AM.Profile DetailsProvider ID1902656218Provider TypeIndividualFull NameTennison, TrevorCredentialPCMHTGenderMaleSole ProprietorNoEnumeration Date3/27/2024Last Updated3/27/2024Contact InformationPractice LocationPractice Address1701 White St, Mccomb, MS 39648-2711Phone(769) 217-2810Fax(601) 324-5559Mailing LocationMailing AddressPO Box 18679, Hattiesburg, MS 39404-8679Phone(601) 705-1901Fax(601) 705-1952Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense6426Mississippi