Individual ProviderNicole ThomasCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121(434) 948-4831PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Thomas 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 ID1689927519Provider TypeIndividualFull NameThomas, NicoleCredentialLPCGenderFemaleSole ProprietorYesEnumeration Date10/16/2012Last Updated10/11/2023Contact InformationPractice LocationPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121Phone(434) 948-4831Fax(434) 845-5803Mailing LocationMailing AddressPO Box 6316, Lynchburg, VA 24505-6316Phone(434) 948-4831FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701005056Virginia