Individual ProviderGrace E PettyCounselorBehavioral Health & Social Service ProvidersPractice Address3410 Old Forest Rd, Lynchburg, VA 24501-2915(434) 455-1000PECOS EnrollmentThis provider is enrolled in PECOS as GRACE PETTY.Based on the most recent information from CMS, provider Grace E Petty is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1427318369Provider TypeIndividualFull NamePetty, Grace ECredentialMA LPCGenderFemaleSole ProprietorNoEnumeration Date5/25/2012Last Updated8/14/2015Contact 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 ProvidersLicense0701005872VirginiaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense64798Texas