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Gina Maria Anderson

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Lynchburg, VA 24501-1121

PECOS Enrollment

This provider is enrolled in PECOS as GINA ANDERSON.

Based on the most recent information from CMS, provider Gina Maria Anderson 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
1578278958
Provider Type
Individual
Full Name
Anderson, Gina Maria
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
1/19/2023
Last Updated
1/19/2023

Contact Information

Practice Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

(434) 948-4831

Unlisted Fax

Mailing Location

PO Box 6316, Lynchburg, VA 24505-6316

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701012125 Virginia

Gina Maria Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hart, Mary E

Mental Health America Of Central Virginia

Martin, Shiloh

Harold, Alyssa

Finch, Brenda

Haupt, Julie Rae

Kamolmatayakul, Sila

Walker-Thacker, Sherri

Gallagher, Sylvia Miller

Benitez-Vasquez, Victor Rene