GENNA LAUREN LONG PMHNP-BC
NPI 1962398800
Nurse Practitioner - Psychiatric/Mental Health in Tega Cay, SC

Active since June 17, 2025
1180 STONECREST BLVD STE 101, TEGA CAY, SC 29708(803) 372-8585(800) 598-6601 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genna Lauren Long Pmhnp-bc NPPES

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

GENNA LAUREN LONG PMHNP-BC (NPI 1962398800) is an individual psychiatric/mental health provider in Tega Cay, South Carolina, licensed in South Carolina (30508) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1962398800
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGENNA LAUREN LONGCredential: PMHNP-BC
Location Address1180 STONECREST BLVD STE 101Tega Cay, SC 29708-6638
Mailing Address1180 Stonecrest Blvd Ste 101Tega Cay, SC 29708-6638 · (803) 372-8585 · Fax (800) 598-6601
Fax(800) 598-6601
Sole ProprietorNo
Enumeration DateJune 17, 2025
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1962398800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in SC · 30508
1180 STONECREST BLVD STE 101, Tega Cay, SC 29708

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
1180 STONECREST BLVD STE 101
TEGA CAY, SC 29708

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 Genna Long's NPI number?

The NPI number for Genna Long is 1962398800. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Genna Long located?

Genna Long practices at 1180 Stonecrest Blvd Ste 101, Tega Cay, SC 29708. The listed phone number is (803) 372-8585.

What is Genna Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Genna Long was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.