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Christopher O'Neal Burch

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121

PECOS Enrollment

Based on the most recent information from CMS, provider Christopher O'Neal Burch does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679666986
Provider Type
Individual
Full Name
Burch, Christopher O'Neal
Title
Prof.
Credential
LPC

Gender
Male
Sole Proprietor
No
Enumeration Date
10/2/2006
Last Updated
10/1/2008

Contact Information

Practice Location

2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121

(434) 455-3047

(434) 948-4918

Mailing Location

2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121

(434) 455-3047

(434) 948-4918

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701002484 Virginia
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 0717000305 Virginia

Provider Identifiers

ID	Description	Issuer
ID 1871542340	Description Medicaid	Issuer Unlisted Virginia

Christopher O'Neal Burch

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Stifler, Kenneth R

Stewart, Bonnie C

Smith, Jennifer

Anderson, Gina Maria

Ayers, Brittany

Silver, Amanda Erin

Bailey, Ashley

Outland, Lavanya Monique

Pearce, Allyson Rae-Ausel

Dike, Shawnae