Individual ProviderJenesha Michelle BoudreauxCase Manager/Care CoordinatorOther Service ProvidersPractice Address2140 Saint Bernard Ave, New Orleans, LA 70119-1613(504) 943-1857(985) 647-1516PECOS EnrollmentBased on the most recent information from CMS, provider Jenesha Michelle 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 2 days ago.Profile DetailsProvider ID1972095644Provider TypeIndividualFull NameBoudreaux, Jenesha MichelleGenderFemaleSole ProprietorYesEnumeration Date5/30/2018Last Updated4/11/2019Contact InformationPractice LocationPractice Address2140 Saint Bernard Ave, New Orleans, LA 70119-1613Phone(504) 943-1857Fax(504) 943-1858Mailing LocationMailing Address121 Morristown Rd, Raceland, LA 70394-3132Phone(985) 647-1516FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer