| Central Virginia Counseling Pllc | |
|
808 Wiggington Rd Ste D Lynchburg VA 24502-5155 | |
| (434) 473-2291 | |
| (540) 765-3369 |
| Full Name | Central Virginia Counseling Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 808 Wiggington Rd Ste D, Lynchburg, Virginia |
| Authorized Official Name and Position | Grace Ellen Petty (COUNSELOR) |
| Authorized Official Contact | 4344732291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Virginia Counseling Pllc 808 Wiggington Rd Ste D Lynchburg VA 24502-5155 Ph: (434) 473-2291 | Central Virginia Counseling Pllc 808 Wiggington Rd Ste D Lynchburg VA 24502-5155 Ph: (434) 473-2291 |
| NPI Number | 1346786852 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 09/23/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 8022493220 |
|---|---|
| Medicare Enrollment ID | O20220923000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346786852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701005872 (Virginia) | Primary |
| Provider Name | Sarit Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366193427 PECOS PAC ID: 3779970298 Enrollment ID: I20220429001831 |
| Provider Name | Grace E Petty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427318369 PECOS PAC ID: 2668857863 Enrollment ID: I20240222004328 |
| Provider Name | Stephen John Oakley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356942759 PECOS PAC ID: 7810333275 Enrollment ID: I20240308000503 |
| Provider Name | Jessica Palacios |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437527785 PECOS PAC ID: 5597101816 Enrollment ID: I20240308002925 |
| Provider Name | Burks Overbey Harkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164063012 PECOS PAC ID: 9830535186 Enrollment ID: I20240309000496 |
| Provider Name | Berkley Carter Holston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104238369 PECOS PAC ID: 5193162410 Enrollment ID: I20240322000813 |
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