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Gabrielle Nichole Mauk

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Lynchburg, VA 24501-1121

PECOS Enrollment

This provider is enrolled in PECOS as GABRIELLE MAUK.

Based on the most recent information from CMS, provider Gabrielle Nichole Mauk 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 yesterday at 11:51 AM.

Profile Details

Provider ID
1114687951
Provider Type
Individual
Full Name
Mauk, Gabrielle Nichole
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
12/21/2021
Last Updated
12/21/2021

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 0701011088 Virginia

Gabrielle Nichole Mauk

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Roach, Kenneth Phillip

Bullock, Callee

Wardlaw, Gary

Conrad, Robin Carol

Schooler, Karla K

Anderson, Gina Maria

Henderson, Susan Carroll

Winebarger, Amanda

Overstreet, Kelly

Hart, Mary E