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Bonnie Latham-Lyon

Counselor

Behavioral Health & Social Service Providers

82 Palomino Ln, Suite 703, Bedford, NH 03110-6448

PECOS Enrollment

Based on the most recent information from CMS, provider Bonnie Latham-Lyon 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 2 days ago.

Profile Details

Provider ID
1730254467
Provider Type
Individual
Full Name
Latham-Lyon, Bonnie
Credential
LCMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/21/2006
Last Updated
7/9/2007

Contact Information

Practice Location

82 Palomino Ln, Suite 703, Bedford, NH 03110-6448

(603) 623-5884

Unlisted Fax

Mailing Location

82 Palomino Ln, Suite 703, Bedford, NH 03110-6448

(603) 623-5884

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 524 New Hampshire

Provider Identifiers

ID	Description	Issuer
ID 30423176	Description Medicaid	Issuer Unlisted New Hampshire
ID 14Y001664NH02	Description Other	Issuer BHN (ANTHEM) New Hampshire

Bonnie Latham-Lyon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Schieding, Kendall L.

Rourke, Elizabeth

Arsenian, Aimee Margaret

Wallace, Alexis A

Counseling Solutions, Inc

Dispirito, Echo

Disciullo, Anne

Robichaud-Fuentes, Ryan Daniel

Southern New Hampshire Emdr & Counseling Services Pllc

Guldenstern, Donna