Individual ProviderDoris DematoCounselorBehavioral Health & Social Service ProvidersPractice Address2811 Linkhorne Dr, Ste. B, Lynchburg, VA 24503-3321(434) 384-1594PECOS EnrollmentBased on the most recent information from CMS, provider Doris Demato 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 ID1437267515Provider TypeIndividualFull NameDemato, DorisCredentialPH. D, LPCGenderFemaleSole ProprietorNoEnumeration Date8/28/2006Last Updated7/25/2025Contact InformationPractice LocationPractice Address2811 Linkhorne Dr, Ste. B, Lynchburg, VA 24503-3321Phone(434) 384-1594Fax(434) 384-3228Mailing LocationMailing Address2811 Linkhorne Dr, Ste. B, Lynchburg, VA 24503-3321Phone(434) 384-1594Fax(434) 384-3228Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701002110VirginiaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense0717000239VirginiaProvider IdentifiersIDDescriptionIssuerID281201DescriptionOtherIssuerANTHEMVirginiaID005403227DescriptionMedicaidIssuerUnlistedVirginia