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Sherri Walker-Thacker

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121

PECOS Enrollment

Based on the most recent information from CMS, provider Sherri Walker-Thacker 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
1932290095
Provider Type
Individual
Full Name
Walker-Thacker, Sherri
Credential
LPC, LMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
9/27/2006
Last Updated
7/12/2011

Contact Information

Practice Location

2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121

(434) 455-3047

(434) 948-4918

Mailing Location

2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121

(434) 455-3047

(434) 948-4918

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701002716 Virginia
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 0717000864 Virginia

Provider Identifiers

ID	Description	Issuer
ID 004945441	Description Medicaid	Issuer Unlisted Virginia
ID 393947	Description Other	Issuer ANTHEM BLUE SHIELD Virginia

Sherri Walker-Thacker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Smith, Jennifer

Roth, Nyomi S

Chrysanthus, Joann A

Jackson, William M.

Tucker, Amy Billingsly

Anderson, Gina Maria

Stifler, Kenneth R

Conrad, Robin Carol

Rosenberg, Victoria

Kindzred, Bernnell