Amanda Bates Taylor | Lafayette, LA • PECOS Search

Amanda Bates Taylor

Social Worker

Behavioral Health & Social Service Providers

143 Ridgeway Dr Ste 111, Lafayette, LA 70503-3495

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Bates Taylor 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 3 days ago.

Profile Details

Provider ID
1992133458
Provider Type
Individual
Full Name
Taylor, Amanda Bates
Credential
LCSW, CSOTP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/21/2013
Last Updated
8/13/2019

Contact Information

Practice Location

143 Ridgeway Dr Ste 111, Lafayette, LA 70503-3495

Unlisted Fax

Mailing Location

143 Ridgeway Dr Ste 111, Lafayette, LA 70503-3495

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 12239 Louisiana