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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

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