Shawnae Dike | Lynchburg, VA • PECOS Search

Shawnae Dike

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Lynchburg, VA 24501-1121

(434) 948-4831 (434) 948-4855

PECOS Enrollment

Based on the most recent information from CMS, provider Shawnae Dike 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
1700403466
Provider Type
Individual
Full Name
Dike, Shawnae
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/29/2020
Last Updated
7/13/2020

Contact Information

Practice Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

Unlisted Fax

Mailing Location

620 Court St, Lynchburg, VA 24504-1312

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701009354 Virginia