Individual ProviderSharayah LudwigCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3713(360) 397-8484PECOS EnrollmentBased on the most recent information from CMS, provider Sharayah Ludwig 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 today at 10:04 AM.Profile DetailsProvider ID1295105096Provider TypeIndividualFull NameLudwig, SharayahGenderFemaleSole ProprietorYesEnumeration Date10/6/2015Last Updated7/5/2016Contact InformationPractice LocationPractice Address1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3713Phone(360) 397-8484FaxUnlisted FaxMailing LocationMailing AddressPO Box 1845, Vancouver, WA 98668-1845Phone(360) 397-8484FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer