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Sandra Irby Stephenson

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Lynchburg, VA 24501-1121

PECOS Enrollment

This provider is enrolled in PECOS as SANDRA STEPHENSON.

Based on the most recent information from CMS, provider Sandra Irby Stephenson 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
1083920979
Provider Type
Individual
Full Name
Stephenson, Sandra Irby
Title
Mrs.
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/30/2010
Last Updated
8/30/2010

Contact Information

Practice Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

(434) 485-8861

(434) 485-8877

Mailing Location

620 Court St, 5th Floor, Lynchburg, VA 24504-1312

(434) 485-8861

(434) 485-8877

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701003019 Virginia

Sandra Irby Stephenson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Overstreet, Kelly

Johnson, Melissa

Caldwell, Pamela S

Harold, Alva

Ramsey, Michael

Daley, Derek

Gunter, Martha Ann

Outland, Lavanya Monique

Kamolmatayakul, Sila

Crawford, Elizabeth Ann