| Shumate Management Llc | |
|
2900 Old Forest Rd Ste A Lynchburg VA 24501-2335 | |
| (206) 235-0968 | |
| Not Available |
| Full Name | Shumate Management Llc |
|---|---|
| Speciality | Counselor |
| Location | 2900 Old Forest Rd Ste A, Lynchburg, Virginia |
| Authorized Official Name and Position | Holly Shumate (OWNER) |
| Authorized Official Contact | 2062350968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shumate Management Llc 2900 Old Forest Rd Ste A Lynchburg VA 24501-2335 Ph: (434) 316-1826 | Shumate Management Llc 2900 Old Forest Rd Ste A Lynchburg VA 24501-2335 Ph: (206) 235-0968 |
| NPI Number | 1487489134 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 1557884715 |
|---|---|
| Medicare Enrollment ID | O20250327003663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487489134 | NPI | - | NPPES |
| Provider Name | Stephanie Lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093465437 PECOS PAC ID: 1456874627 Enrollment ID: I20250327003723 |
| Provider Name | Sunday Rae Towles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285266932 PECOS PAC ID: 9931622131 Enrollment ID: I20250328000681 |
| Provider Name | Sally Jane Glowicki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346463965 PECOS PAC ID: 2163945296 Enrollment ID: I20250331001029 |
| Provider Name | Melissa Rachel Sellers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467821124 PECOS PAC ID: 0840714309 Enrollment ID: I20250407002103 |
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