Miriam N/A Longoria | Kennewick, WA • PECOS Search

Miriam N/A Longoria

Counselor

Behavioral Health & Social Service Providers

Lutheran Community Services NW, 3321 W Kennewick Ave Suite 150, Kennewick, WA 99336

(509) 735-6446 (509) 361-4040

PECOS Enrollment

Based on the most recent information from CMS, provider Miriam N/A Longoria does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1295514255
Provider Type
Individual
Full Name
Longoria, Miriam N/A
Credential
BSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/27/2023
Last Updated
9/27/2023

Contact Information

Practice Location

Lutheran Community Services NW, 3321 W Kennewick Ave Suite 150, Kennewick, WA 99336

Unlisted Fax

Mailing Location

1739 W Cartmell St, Pasco, WA 99301-4032

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer