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Sila Kamolmatayakul

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Lynchburg, VA 24501-1121

PECOS Enrollment

Based on the most recent information from CMS, provider Sila Kamolmatayakul 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 2 days ago.

Profile Details

Provider ID
1033791090
Provider Type
Individual
Full Name
Kamolmatayakul, Sila
Credential
LPC

Gender
Male
Sole Proprietor
No
Enumeration Date
4/28/2021
Last Updated
10/26/2023

Contact Information

Practice Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

(434) 948-4831

Unlisted Fax

Mailing Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

(434) 948-4831

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701010371 Virginia

Sila Kamolmatayakul

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Strange, Sophia

Harold, Alyssa

Pitts, Jane E.

Whittemore, Linda Genevieve

Henderson, Susan Carroll

Chrysanthus, Joann A

Powell, Marianne

Harold, Alva

Roth, Nyomi S

Stewart, Bonnie C