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Shiloh Martin

Counselor

Behavioral Health & Social Service Providers

2225b Langhorne Rd, Lynchburg, VA 24501-1107

(434) 455-2040

PECOS Enrollment

Based on the most recent information from CMS, provider Shiloh Martin 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 2 days ago.

Profile Details

Provider ID
1649832189
Provider Type
Individual
Full Name
Martin, Shiloh
Credential
MA, NCC, LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/5/2019
Last Updated
10/16/2023

Contact Information

Practice Location

2225b Langhorne Rd, Lynchburg, VA 24501-1107

(434) 455-2040

Unlisted Fax

Mailing Location

PO Box 6316, Lynchburg, VA 24505-6316

(434) 455-2040

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701008454 Virginia

Shiloh Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Powell, Marianne

Tucker, Amy Billingsly

Burch, Christopher O'Neal

Hamilton, Christina Michelle

Murphy, Amanda

Rosser, Patrice Montez

Ayodeji, Sunday A

Echols, Susan Campbell

Strange, Crystal

Centra Health Professional Services, Llc