Individual ProviderSila KamolmatayakulCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121(434) 948-4831PECOS EnrollmentBased on the most recent information from CMS, provider Sila Kamolmatayakul is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1033791090Provider TypeIndividualFull NameKamolmatayakul, SilaCredentialLPCGenderMaleSole ProprietorNoEnumeration Date4/28/2021Last Updated10/26/2023Contact InformationPractice LocationPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121Phone(434) 948-4831FaxUnlisted FaxMailing LocationMailing Address2215 Langhorne Rd, Lynchburg, VA 24501-1121Phone(434) 948-4831FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701010371Virginia