Provider Demographics
NPI:1609170612
Name:NOREEN S CONLON LMHC LLC
Entity Type:Organization
Organization Name:NOREEN S CONLON LMHC LLC
Other - Org Name:LIFE GUIDANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CONLON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-827-5389
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-0412
Mailing Address - Country:US
Mailing Address - Phone:978-827-5389
Mailing Address - Fax:978-874-2112
Practice Address - Street 1:71 MAIN ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1472
Practice Address - Country:US
Practice Address - Phone:978-827-5389
Practice Address - Fax:978-874-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA282714OtherMHN
MA018377OtherVALUE OPTIONS
MA1037830OtherBEACON HEALTH STRATEGIES/FALLON
MA1895389OtherMBHP
MA110032466AMedicaid
MA495371OtherTUFTS
MA96723801OtherNETWORK HEALTH
MALM1169OtherBLUE CROSS BLUE SHIELD OF MA