OrganizationCentra Health Professional Services, Llc(Mental Health Consultation Services)CounselorBehavioral Health & Social Service ProvidersPractice Address1901 Tate Springs Rd, Lynchburg, VA 24501-1109(434) 947-3033PECOS EnrollmentBased on the most recent information from CMS, provider Centra Health Professional Services, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366482127Provider TypeOrganizationFull NameCentra Health Professional Services, LlcOther NameMental Health Consultation ServicesSubpartYesEnumeration Date6/8/2006Last Updated3/4/2008Contact InformationPractice LocationPractice Address1901 Tate Springs Rd, Lynchburg, VA 24501-1109Phone(434) 947-3033FaxUnlisted FaxMailing LocationMailing Address1204 Fenwick Dr, Lynchburg, VA 24502-2112PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameTweedy, Tammy (Director)Phone(434) 947-3656Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer