OrganizationShumate Management Llc(Blackwater Counseling And Wellness)CounselorBehavioral Health & Social Service ProvidersPractice Address2900 Old Forest Rd Ste A, Lynchburg, VA 24501-2335(206) 235-0968(434) 316-1826PECOS EnrollmentBased on the most recent information from CMS, provider Shumate Management 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 ID1487489134Provider TypeOrganizationFull NameShumate Management LlcOther NameBlackwater Counseling And WellnessSubpartNoEnumeration Date9/3/2024Last Updated11/25/2024Contact InformationPractice LocationPractice Address2900 Old Forest Rd Ste A, Lynchburg, VA 24501-2335Phone(206) 235-0968FaxUnlisted FaxMailing LocationMailing Address2900 Old Forest Rd Ste A, Lynchburg, VA 24501-2335Phone(434) 316-1826FaxUnlisted FaxAuthorized OfficialNameShumate, Holly (Owner)Phone(206) 235-0968Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode261QM0801XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer