Individual ProviderGina HarrisonCounselorBehavioral Health & Social Service ProvidersPractice Address3300 Rivermont Ave, Lynchburg, VA 24503-2030(434) 200-4645PECOS EnrollmentBased on the most recent information from CMS, provider Gina Harrison 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 ID1447074026Provider TypeIndividualFull NameHarrison, GinaCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date11/11/2024Last Updated11/11/2024Contact InformationPractice LocationPractice Address3300 Rivermont Ave, Lynchburg, VA 24503-2030Phone(434) 200-4645FaxUnlisted FaxMailing LocationMailing Address3300 Rivermont Ave, Lynchburg, VA 24503-2030PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701014165Virginia