Individual ProviderDerek DaleyCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhome Rd, Lynchburg, VA 24501(434) 948-4831(540) 871-3278PECOS EnrollmentBased on the most recent information from CMS, provider Derek Daley is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1568030401Provider TypeIndividualFull NameDaley, DerekCredentialLPCGenderMaleSole ProprietorYesEnumeration Date6/16/2021Last Updated5/14/2024Contact InformationPractice LocationPractice Address2215 Langhome Rd, Lynchburg, VA 24501Phone(434) 948-4831FaxUnlisted FaxMailing LocationMailing Address2215 Langhome Rd, Lynchburg, VA 24501Phone(540) 871-3278FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701010011Virginia