Individual ProviderKatherine Brooke SalassiSocial WorkerBehavioral Health & Social Service ProvidersPractice Address106 Heymann Blvd, Lafayette, LA 70503-2322(337) 504-4279PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Brooke Salassi 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 3 days ago.Profile DetailsProvider ID1336844539Provider TypeIndividualFull NameSalassi, Katherine BrookeGenderFemaleSole ProprietorNoEnumeration Date4/5/2023Last Updated8/21/2024Contact InformationPractice LocationPractice Address106 Heymann Blvd, Lafayette, LA 70503-2322Phone(337) 504-4279FaxUnlisted FaxMailing LocationMailing Address407 Cactus Rd, Duson, LA 70529-3337PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense15595LouisianaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense15595Louisiana