SAVILLA LONG (NPI# 1093201360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093201360 |
Entity Type | Individual |
Full Name | SAVILLA LONG |
Credential | CDCA |
Practice Address |
11821 Sr 160 Vinton OH 45686-4568 |
Mailing Address |
6321 State Route 141 Gallipolis OH 45631-8858 |
Practice Telephone | 7402453051 |
Practice Fax Number | 7402453052 |
Mailing Telephone | 7406451928 |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-07-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
167718 | OH | Behavioral Health & Social Service Providers |
Street Address |
11821 SR 160 |
City | VINTON |
State | OH |
Zip Code | 45686-4568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689167165 | Linda Marie Phillips | Counselor | 11821 Sr 160, Vinton, OH 45686 | 2018-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285087965 | Della Adkins | Counselor | 15151 St Rt 160, Vinton, OH 45686 | 2016-07-19 |
1932592839 | Field of Hope Community Campus, Inc. | Community/Behavioral Health | 11821 State Route 160, Vinton, OH 45686 | 2015-03-17 |
1447385570 | Garry B Stover IIi | Home Health Aide | 2001 Mt Carmel Rd, Vinton, OH 45686 | 2007-02-22 |
1164779716 | Wing Haven | Community/Behavioral Health | 53 Main St, Vinton, OH 45686 | 2012-08-13 |
1508194259 | Amy N Sisson | Counselor | 53 Main Street, Vinton, OH 45686 | 2009-11-18 |
1700113529 | Haven of Hope Christian Counseling Center LLC | Community/Behavioral Health | 53 Main St, Vinton, OH 45686 | 2009-11-16 |
1932404332 | Tim A Branham | Technician | 43753 Covered Bridge Rd, Vinton, OH 45686-8540 | 2011-01-14 |
1639629868 | Jo A Pritt | Private Vehicle | 31395 Metheny Fairplay Rd, Vinton, OH 45686-8914 | 2016-10-12 |
1902413156 | Jo A Pritt | Contractor | 31395 Metheny Fairplay Rd, Vinton, OH 45686-8914 | 2020-09-30 |
1396242210 | Amy Lee Putney | Counselor | 11825 State Route 160, Vinton, OH 45686-9009 | 2018-04-07 |
Find all providers in zip 45686 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689167165 | Linda Marie Phillips | Counselor | 11821 Sr 160, Vinton, OH 45686 | 2018-06-11 |
1396242210 | Amy Lee Putney | Counselor | 11825 State Route 160, Vinton, OH 45686-9009 | 2018-04-07 |
1861015794 | Mary Wamsley | Counselor | 11821 State Route 160, Vinton, OH 45686-9009 | 2020-05-27 |
1619590676 | Bethany H Corbin | Counselor | 11821 State Route 160, Vinton, OH 45686-9009 | 2020-05-26 |
1700437563 | Danny Ballantyne | Counselor | 11821 State Route 160, Vinton, OH 45686-9009 | 2019-09-24 |
1386294528 | Kristi Kuhn | Counselor | 11821 State Route 160, Vinton, OH 45686-9009 | 2019-09-19 |
1861041402 | Kathy Ballantyne | Counselor | 11821 State Route 160, Vinton, OH 45686-9009 | 2019-09-06 |
1881247989 | Candace Leigh Yongue | Counselor | 11821 State Route 160, Vinton, OH 45686-9009 | 2019-07-18 |
1770141335 | Melissa Stalnaker | Counselor | 11821 State Route 160, Vinton, OH 45686-9009 | 2019-05-30 |
1528521903 | Pat Stammeyer | Counselor | 1003 W 4th St, Vinton, IA 52349-1018 | 2019-04-11 |
Find all providers in VINTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.