Individual ProviderGary WardlawCounselorBehavioral Health & Social Service ProvidersPractice Address3410 Old Forest Rd, Lynchburg, VA 24501-2915(434) 455-1000PECOS EnrollmentBased on the most recent information from CMS, provider Gary Wardlaw 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 2 days ago.Profile DetailsProvider ID1881065340Provider TypeIndividualFull NameWardlaw, GaryGenderMaleSole ProprietorNoEnumeration Date10/9/2015Last Updated10/9/2015Contact InformationPractice LocationPractice Address3410 Old Forest Rd, Lynchburg, VA 24501-2915Phone(434) 455-1000Fax(434) 485-8877Mailing LocationMailing Address620 Court St, Lynchburg, VA 24504-1312Phone(434) 455-1000Fax(434) 485-8877Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701006346Virginia