MIRIAM D LONG
NPI 1114652773
Counselor - Professional in Marietta, GA

Active since July 19, 2022
738 WOODLAWN DR NE, MARIETTA, GA 30068(770) 726-9589 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2024, Jul 19, 2022 (2 updates tracked since 2022).

About Miriam D Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRIAM D LONG (NPI 1114652773) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC015269) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1114652773
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIRIAM D LONG
Location Address738 WOODLAWN DR NEMarietta, GA 30068-4253
Mailing Address12040 Brookfield Club DrRoswell, GA 30075-1259 · (310) 927-8149
Sole ProprietorYes
Enumeration DateJuly 19, 2022
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
NPI 1114652773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC015269
738 WOODLAWN DR NE, Marietta, GA 30068

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Professional)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Professional)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Social Worker (Clinical)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Professional)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Professional)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Professional)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Professional)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068
Counselor (Mental Health)
738 WOODLAWN DR NE
MARIETTA, GA 30068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114652773, enumerated as an "individual" on July 19, 2022.

The provider is located at 738 WOODLAWN DR NE MARIETTA, GA 30068 and the phone number is (770) 726-9589.

Counselor with taxonomy code 101YP2500X and a focus in Professional.