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Glynis Victoria Elizabeth Rennels

Social Worker

Behavioral Health & Social Service Providers

143 Ridgeway Dr Ste 106, Lafayette, LA 70503-3410

(337) 993-1960 (337) 962-4017

PECOS Enrollment

This provider is enrolled in PECOS as GLYNIS RENNELS.

Based on the most recent information from CMS, provider Glynis Victoria Elizabeth Rennels is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1538725510
Provider Type
Individual
Full Name
Rennels, Glynis Victoria Elizabeth
Credential
LCSW-BACS

Gender
Female
Sole Proprietor
No
Enumeration Date
5/14/2019
Last Updated
7/22/2022

Contact Information

Practice Location

143 Ridgeway Dr Ste 106, Lafayette, LA 70503-3410

(337) 993-1960

(337) 993-1961

Mailing Location

100 Elmwood Dr, Lafayette, LA 70503-5117

(337) 962-4017

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 4383 Louisiana

Glynis Victoria Elizabeth Rennels

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Stakes, Sheena L

Assure

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Burns, Ann Jackson

Konikoff, Constance Anne

Natalie Bunner Psychotherapy And Consulting

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Dominique, Aimee D.

Wallace, Maria Hebert