Individual ProviderMary E HartCounselorBehavioral 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 Mary E Hart 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 34 days ago.Profile DetailsProvider ID1023109386Provider TypeIndividualFull NameHart, Mary ECredentialLPCGenderFemaleSole 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 ProvidersLicense0701033847VirginiaProvider IdentifiersIDDescriptionIssuerID194499DescriptionOtherIssuerANTHEM BLUE SHIELDVirginiaIDO85278MDescriptionOtherIssuerSENTARAVirginia