Jaela Hine | Lynchburg, VA • PECOS Search

Jaela Hine

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Lynchburg, VA 24501-1121

PECOS Enrollment

Based on the most recent information from CMS, provider Jaela Hine 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
1811487655
Provider Type
Individual
Full Name
Hine, Jaela
Gender
Female

Sole Proprietor
No
Enumeration Date
5/17/2018
Last Updated
5/17/2018

Contact Information

Practice Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

Unlisted Fax

Mailing Location

3410 Old Forest Rd, Lynchburg, VA 24501-2915

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701007649 Virginia