Individual ProviderJaela HineCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121(434) 948-4831PECOS EnrollmentBased on the most recent information from CMS, provider Jaela Hine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 8:18 PM.Profile DetailsProvider ID1811487655Provider TypeIndividualFull NameHine, JaelaGenderFemaleSole ProprietorNoEnumeration Date5/17/2018Last Updated5/17/2018Contact InformationPractice LocationPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121Phone(434) 948-4831FaxUnlisted FaxMailing LocationMailing Address3410 Old Forest Rd, Lynchburg, VA 24501-2915PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701007649Virginia