WARREN DAVID. LONG
NPI 1689834400
Specialist in Shreveport, LA

Active since June 16, 2008
2625 LINE AVE, 155, SHREVEPORT, LA 71104(318) 424-8436(318) 424-8438 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Warren David. Long NPPES

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

WARREN DAVID. LONG (NPI 1689834400) is a healthcare organization registered as a specialist in Shreveport, Louisiana and active in the NPI registry since June 2008. The organization lists Warren David Long, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1689834400
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWARREN DAVID. LONG
Location Address2625 LINE AVE, 155Shreveport, LA 71104-3047
Mailing Address2625 Line Ave, 155Shreveport, LA 71104-3047 · (318) 424-8436 · Fax (318) 424-8438
Fax(318) 424-8438
Organization SubpartNo
Authorized OfficialWarren David LongMd/owner · (318) 424-8436
Enumeration DateJune 16, 2008
NPI 1689834400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in LA · 02812R
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2625 LINE AVE, Shreveport, LA 71104

Other Identifiers 2

Medicare UPINB60836LA
Medicaid1107948LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
2625 LINE AVE, SUITE 106
SHREVEPORT, LA 71104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689834400, enumerated as an "organization" on June 16, 2008.

The provider is located at 2625 LINE AVE 155 SHREVEPORT, LA 71104 and the phone number is (318) 424-8436.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.