Individual ProviderAlexius ColeyCounselorBehavioral Health & Social Service ProvidersPractice Address806 Carter St, Vidalia, LA 71373-3206(318) 734-0034PECOS EnrollmentBased on the most recent information from CMS, provider Alexius Coley 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 9:54 AM.Profile DetailsProvider ID1932767647Provider TypeIndividualFull NameColey, AlexiusGenderFemaleSole ProprietorNoEnumeration Date5/29/2019Last Updated6/11/2019Contact InformationPractice LocationPractice Address806 Carter St, Vidalia, LA 71373-3206Phone(318) 734-0034Fax(318) 414-2277Mailing LocationMailing Address806 Carter St, Vidalia, LA 71373-3206Phone(318) 734-0034Fax(318) 414-2277Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer