KELLY LONG LPC
NPI 1861244246
Counselor - Mental Health in Savannah, GA
Active since April 01, 2024
About Kelly Long Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY LONG LPC (NPI 1861244246) is an individual mental health provider in Savannah, Georgia and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1861244246
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY LONGCredential: LPC
Location Address221 EXECUTIVE CIR STE 4Savannah, GA 31406-4529
Mailing Address166 Rendant AveSavannah, GA 31419-2245 · (912) 704-6541
Phone(912) 704-6541
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1861244246 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
221 EXECUTIVE CIR STE 4, Savannah, GA 31406
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861244246, enumerated as an "individual" on April 01, 2024.
The provider is located at 221 EXECUTIVE CIR STE 4 SAVANNAH, GA 31406 and the phone number is (912) 704-6541.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
