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LISA C LONG RN
NPI 1679897797
Registered Nurse - Psychiatric/Mental Health in Bennettsville, SC

Active since March 18, 2010
1035 CHERAW ST, BENNETTSVILLE, SC 29512(843) 454-0442(843) 454-0212 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Lisa C Long Rn NPPES

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

LISA C LONG RN (NPI 1679897797) is an individual psychiatric/mental health provider in Bennettsville, South Carolina, licensed in North Carolina (212783) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1679897797
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameLISA C LONGCredential: RN
Location Address1035 CHERAW STBennettsville, SC 29512
Mailing AddressPo Box 918Bennettsville, SC 29512 · (843) 454-0841 · Fax (843) 454-0635
Phone(843) 454-0442
Fax(843) 454-0212
Sole ProprietorNo
Enumeration DateMarch 18, 2010
✔ NPI 1679897797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in NC · 212783
1035 CHERAW ST, Bennettsville, SC 29512
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Other Identifiers 2

Medicare PIN3343SC
Medicaid405127SC

Other Providers at the Same Location NPPES 20

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

CYNTHIA D MAXWELL LMSW
Counselor (Mental Health)
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
BRITTANY CHEEK
Counselor (Mental Health)
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0841
MARY ANN OUTLAW
Counselor (Mental Health)
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0841
LISA JOSEPHINE DESTEFANO MA
Counselor (Mental Health)
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0841
CELESTE L WARD
Counselor (Mental Health)
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0841
RENESHA JOHNSON BS-PSYCHOLOGY
Counselor
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 544-4060
MR. DION EDWARD HARRELL MHP MA
Counselor
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Nurse Practitioner (Primary Care)
1035 CHERAW ST
BENNETTSVILLE, SC 29512
Marlboro County (843) 454-0442

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 Lisa Long's NPI number?

The NPI number for Lisa Long is 1679897797. It was assigned to this individual provider in the NPPES registry on March 18, 2010.

Where is Lisa Long located?

Lisa Long practices at 1035 Cheraw St, Bennettsville, SC 29512. The listed phone number is (843) 454-0442.

What is Lisa Long's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Lisa Long was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.