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ANGELA LONG
NPI 1386217826
Counselor in Grandville, MI

Active since July 22, 2021
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418(616) 222-5300(616) 531-0447 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Angela Long NPPES

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

ANGELA LONG (NPI 1386217826) is an individual counselor in Grandville, Michigan and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1386217826
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANGELA LONG
Location Address3584 FAIRLANES AVE SW STE 2Grandville, MI 49418-1583
Mailing Address3584 Fairlanes Ave Sw Ste 2Grandville, MI 49418-1583 · (616) 222-5300 · Fax (616) 531-0447
Phone(616) 222-5300
Fax(616) 531-0447
Sole ProprietorNo
Enumeration DateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1386217826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3584 FAIRLANES AVE SW STE 2, Grandville, MI 49418
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA LEIGH SIMON
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MR. TOMMIE EARL JOHNSON LLMSW
Prevention Professional
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TAMMY LYNN MOHR
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ALEXIS TRUDEAU LLMSW
Social Worker (Clinical)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TORI TRUAX BS
Case Manager/Care Coordinator
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MS. DAESHA LYNNE CANALES LPN
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MRS. ANTOINETTE ALEXANDRIA VARGAS
Social Worker (Clinical)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
HEATHER NICHOLE LITTLE B.S.
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Long's NPI number?

The NPI number for Angela Long is 1386217826. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Angela Long located?

Angela Long practices at 3584 Fairlanes Ave SW Ste 2, Grandville, MI 49418. The listed phone number is (616) 222-5300.

What is Angela Long's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Angela Long was last updated on July 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.