Tiffany Patricia Waters | Lynchburg, VA • PECOS Search

Tiffany Patricia Waters

Counselor

Behavioral Health & Social Service Providers

2811 Linkhorne Dr, Lynchburg, VA 24503-3353

PECOS Enrollment

Based on the most recent information from CMS, provider Tiffany Patricia Waters does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1750016812
Provider Type
Individual
Full Name
Waters, Tiffany Patricia
Title
Miss
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/21/2022
Last Updated
7/21/2022

Contact Information

Practice Location

2811 Linkhorne Dr, Lynchburg, VA 24503-3353

Unlisted Fax

Mailing Location

15529 Ridgecrest Dr, Montclair, VA 22025-1109

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0702008336 Virginia