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NPI Code Detail

MEDICARE: BONNIE LYNN THOMAS LPCC

MEDICARE: BONNIE LYNN THOMAS LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor171987KY

General Provider Information

NPI Number : 1891228151
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE LYNN THOMAS LPCC
Provider Business Mailing Address
First Line : 893B MCGUIRE LN
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2133
Country : US
Telephone Number : 270-724-9774
Fax Number :
Provider Business Practice Location Address
First Line : 203 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-826-8761
Fax Number : 270-826-8737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/17/2025

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Directions to “ BONNIE LYNN THOMAS LPCC” Practice Location

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