Davia Angelique Lerebours | Clearwater, FL • PECOS Search

Davia Angelique Lerebours

Social Worker

Behavioral Health & Social Service Providers

28471 Us Highway 19 N Ste 514, Clearwater, FL 33761-4340

PECOS Enrollment

Based on the most recent information from CMS, provider Davia Angelique Lerebours 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 today at 11:51 AM.

Profile Details

Provider ID
1770857070
Provider Type
Individual
Full Name
Lerebours, Davia Angelique
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/4/2012
Last Updated
4/18/2012

Contact Information

Practice Location

28471 Us Highway 19 N Ste 514, Clearwater, FL 33761-4340

Unlisted Fax

Mailing Location

28471 Us Highway 19 N Ste 514, Clearwater, FL 33761-4340

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License SW8582 Florida