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Joanna Darlene Ajex Palvannan

Counselor

Behavioral Health & Social Service Providers

3300 Rivermont Ave, Lynchburg, VA 24503-2030

PECOS Enrollment

This provider is enrolled in PECOS as JOANNA AJEX PALVANNAN.

Based on the most recent information from CMS, provider Joanna Darlene Ajex Palvannan is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1497449466
Provider Type
Individual
Full Name
Ajex Palvannan, Joanna Darlene
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/5/2023
Last Updated
6/5/2023

Contact Information

Practice Location

3300 Rivermont Ave, Lynchburg, VA 24503-2030

(434) 200-3000

Unlisted Fax

Mailing Location

108 Judd Ct, Lynchburg, VA 24501-4079

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701009000 Virginia

Joanna Darlene Ajex Palvannan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Smith, Robert

Gery, Matthew Tanner

Neff, Anne R.

Johnston, Amanda Rose

Thompson, Stacey

Wright, Jason

Smith, Meredith Ryan

Maloy, Joy Bernhart

Harrison, Gina

Stone, Melisa M.