Individual ProviderLisa L SmithCounselorBehavioral Health & Social Service ProvidersPractice Address1901 Tate Springs Rd, Lynchburg, VA 24501-1109(434) 200-3033PECOS EnrollmentThis provider is enrolled in PECOS as LISA SMITH.Based on the most recent information from CMS, provider Lisa L Smith 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 ID1699777466Provider TypeIndividualFull NameSmith, Lisa LCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date8/11/2005Last Updated1/31/2012Contact InformationPractice LocationPractice Address1901 Tate Springs Rd, Lynchburg, VA 24501-1109Phone(434) 200-3033FaxUnlisted FaxMailing LocationMailing Address1204 Fenwick Dr, Lynchburg, VA 24502-2112PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701003348VirginiaProvider IdentifiersIDDescriptionIssuerID010057400DescriptionMedicaidIssuerUnlistedVirginia