Amanda Rose Johnston | Lynchburg, VA • PECOS Search

Amanda Rose Johnston

Counselor

Behavioral Health & Social Service Providers

150 Linden Ave, Lynchburg, VA 24503-2010

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Rose Johnston 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 34 days ago.

Profile Details

Provider ID
1093398992
Provider Type
Individual
Full Name
Johnston, Amanda Rose
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/29/2021
Last Updated
4/29/2021

Contact Information

Practice Location

150 Linden Ave, Lynchburg, VA 24503-2010

Unlisted Fax

Mailing Location

150 Linden Ave, Lynchburg, VA 24503-2010

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701010459 Virginia