Individual ProviderLisa L SmithCounselorBehavioral Health & Social Service ProvidersPractice Address1901 Tate Springs Rd, Lynchburg, VA 24501-1109(434) 200-3033PECOS EnrollmentThis provider is enrolled in PECOS as LISA SMITH.Based on the most recent information from CMS, provider Lisa L Smith 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 ID1699777466Provider TypeIndividualFull NameSmith, Lisa LCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date8/11/2005Last Updated1/31/2012Contact InformationPractice LocationPractice Address1901 Tate Springs Rd, Lynchburg, VA 24501-1109Phone(434) 200-3033FaxUnlisted FaxMailing LocationMailing Address1204 Fenwick Dr, Lynchburg, VA 24502-2112PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701003348VirginiaProvider IdentifiersIDDescriptionIssuerID010057400DescriptionMedicaidIssuerUnlistedVirginia