Individual ProviderHoward R KingCounselorBehavioral Health & Social Service ProvidersPractice Address2811 Linkhorne Dr, Suite B, Lynchburg, VA 24503-3321(434) 384-1594PECOS EnrollmentBased on the most recent information from CMS, provider Howard R King does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1598721052Provider TypeIndividualFull NameKing, Howard RCredentialPH. DGenderMaleSole ProprietorNoEnumeration Date4/25/2006Last Updated2/7/2014Contact InformationPractice LocationPractice Address2811 Linkhorne Dr, Suite B, Lynchburg, VA 24503-3321Phone(434) 384-1594Fax(434) 384-3228Mailing LocationMailing Address2811 Linkhorne Dr, Suite B, Lynchburg, VA 24503-3321Phone(434) 384-1594Fax(434) 384-3228Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701001646VirginiaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense0717000578VirginiaProvider IdentifiersIDDescriptionIssuerID292933DescriptionOtherIssuerANTHEM BC/BSVirginiaID005402123DescriptionMedicaidIssuerUnlistedVirginia