Individual ProviderMarsha Divers-WiggsCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121(434) 455-3047PECOS EnrollmentBased on the most recent information from CMS, provider Marsha Divers-Wiggs 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 yesterday at 11:51 AM.Profile DetailsProvider ID1780775114Provider TypeIndividualFull NameDivers-Wiggs, MarshaCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date9/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121Phone(434) 455-3047Fax(434) 948-4918Mailing LocationMailing Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121Phone(434) 455-3047Fax(434) 948-4918Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701003659VirginiaProvider IdentifiersIDDescriptionIssuerID172737DescriptionOtherIssuerANTHEM BLUE SHIELDVirginiaID540843527007DescriptionOtherIssuerHEALTHNET FEDERALVirginia