Individual ProviderSeretha HollingsworthCounselorBehavioral Health & Social Service ProvidersPractice Address100 Jefferson St, Oregon, IL 61061-1612(815) 732-3157PECOS EnrollmentBased on the most recent information from CMS, provider Seretha Hollingsworth 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 12:57 PM.Profile DetailsProvider ID1972170017Provider TypeIndividualFull NameHollingsworth, SerethaGenderFemaleSole ProprietorNoEnumeration Date6/8/2021Last Updated6/8/2021Contact InformationPractice LocationPractice Address100 Jefferson St, Oregon, IL 61061-1612Phone(815) 732-3157FaxUnlisted FaxMailing LocationMailing Address100 Jefferson St, Oregon, IL 61061-1612PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer