| Patrick Henry Family Services Operations | |
|
1621 Enterprise Dr Lynchburg VA 24502-5797 | |
| (434) 376-2006 | |
| (434) 239-4955 |
| Full Name | Patrick Henry Family Services Operations |
|---|---|
| Speciality | Counselor |
| Location | 1621 Enterprise Dr, Lynchburg, Virginia |
| Authorized Official Name and Position | Sandra Lewandowski (PRACTICE MANAGER) |
| Authorized Official Contact | 4343762006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Henry Family Services Operations 1621 Enterprise Dr Lynchburg VA 24502-5797 Ph: (434) 376-2006 | Patrick Henry Family Services Operations 1621 Enterprise Dr Lynchburg VA 24502-5797 Ph: (434) 376-2006 |
| NPI Number | 1033724216 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 6103231444 |
|---|---|
| Medicare Enrollment ID | O20210218000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033724216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sherry S Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750762464 PECOS PAC ID: 3476866013 Enrollment ID: I20150724011683 |
| Provider Name | Susan Ann Chandler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528441342 PECOS PAC ID: 7113364241 Enrollment ID: I20240325001322 |
| Provider Name | Henry Bruns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225649031 PECOS PAC ID: 2668819749 Enrollment ID: I20240325002944 |
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