Nicole M Dilella | Lynchburg, VA • PECOS Search

Nicole M Dilella

Counselor

Behavioral Health & Social Service Providers

3712 Old Forest Rd Ste 400, Lynchburg, VA 24501-6959

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole M Dilella does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1093303596
Provider Type
Individual
Full Name
Dilella, Nicole M
Title
Dr.
Credential
PHD, LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
1/10/2021
Last Updated
1/10/2021

Contact Information

Practice Location

3712 Old Forest Rd Ste 400, Lynchburg, VA 24501-6959

Unlisted Fax

Mailing Location

1062 Valor Ct, Forest, VA 24551-2509

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701006828 Virginia