SERENA LONG
NPI 1891377008
Counselor - Addiction (Substance Use Disorder) in Louisa, KY
Active since April 27, 2021
About Serena Long NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENA LONG (NPI 1891377008) is an individual addiction (substance use disorder) provider in Louisa, Kentucky, licensed in Kentucky (290429) and active in the NPI registry since April 2021.
NPPES Registry Identity
NPI1891377008
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSERENA LONG
Location Address125 S MAIN CROSS STLouisa, KY 41230-1065
Mailing Address125 S Main Cross StLouisa, KY 41230-1065 · (606) 638-0938
Phone(606) 638-0938
Sole ProprietorYes
Enumeration DateApril 27, 2021
Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1891377008 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 290429
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
125 S MAIN CROSS ST, Louisa, KY 41230
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891377008, enumerated as an "individual" on April 27, 2021.
The provider is located at 125 S MAIN CROSS ST LOUISA, KY 41230 and the phone number is (606) 638-0938.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).