Individual ProviderBonnie C StewartCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121(434) 455-3047PECOS EnrollmentBased on the most recent information from CMS, provider Bonnie C Stewart 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 2 days ago.Profile DetailsProvider ID1437241619Provider TypeIndividualFull NameStewart, Bonnie CCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date9/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121Phone(434) 455-3047Fax(434) 948-4918Mailing LocationMailing Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121Phone(434) 455-3047Fax(434) 948-4918Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701003921VirginiaProvider IdentifiersIDDescriptionIssuerID190011DescriptionOtherIssuerANTHEM BLUE SHIELDVirginiaID540843527010DescriptionOtherIssuerHEALTHNET FEDERALVirginia