MS. MARY A LONG MA - NPI 1972653863 - Counselor in Richmond, KY

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Ms. Mary A Long Ma NPPES

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

MS. MARY A LONG MA (NPI 1972653863) is an individual mental health provider in Richmond, Kentucky and active in the NPI registry since January 2007.

NPI1972653863

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. MARY A LONGCredential: MA

Location Address409 GIBSON LNRichmond, KY 40475-2577

Mailing Address1351 Newtown PikeLexington, KY 40511-1217 · (859) 253-1686 · Fax (859) 254-2743

Fax(859) 254-2743

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1972653863 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

409 GIBSON LN, Richmond, KY 40475

Medicaid30615058KY

Medicare ID-Type Unspecified8558KY · Medicare

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

Counselor (Mental Health)

409 GIBSON LN
RICHMOND, KY 40475

Madison County (859) 253-1686

Counselor (Professional)

409 GIBSON LN
RICHMOND, KY 40475

Madison County (859) 253-1686

The NPI number assigned to this healthcare provider is 1972653863, enumerated as an "individual" on January 11, 2007.

The provider is located at 409 GIBSON LN RICHMOND, KY 40475 and the phone number is (859) 253-1686.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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