CANDACE LONG (NPI# 1164810701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164810701 |
| Entity Type | Individual |
| Full Name | CANDACE LONG |
| Practice Address |
611 N State St Stanton MI 48888-9702 |
| Practice Telephone | 9898317520 |
| Mailing Telephone | 9898317520 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497065122 | Candace Long | Registered Nurse | 2400 S 48th Street, Springdale, AR 72762 | 2010-10-15 |
| Street Address |
611 N STATE ST |
| City | STANTON |
| State | MI |
| Zip Code | 48888-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508832155 | David E Lyon | Psychiatry & Neurology | 611 N State St, Stanton, MI 48888-9702 | 2006-02-24 |
| 1710584651 | Megan Elizabeth Marhofer | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-10-05 |
| 1619587060 | Dominique Larissa Adams | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-07-31 |
| 1306464581 | Catherine Mary Joyce Hazekamp | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-07-14 |
| 1245865781 | Danielle Lynn Martin | Registered Nurse | 611 N State St, Stanton, MI 48888-9702 | 2020-03-05 |
| 1770116980 | Samantha L Hershberger | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2020-02-17 |
| 1427689710 | Sarah J Mcdiarmid | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2020-01-27 |
| 1558901942 | Adeline Zemcik | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2020-01-14 |
| 1972143261 | Amber Kohagen | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-01-14 |
| 1881239218 | Amanda Crystal Gatiss | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2019-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873115 | Melanie Cazier | Behavior Technician | 100 E Main St #c, Stanton, MI 48888 | 2018-03-01 |
| 1841583739 | Wendy Kay King | Registered Nurse | 251 S. Pine Grove Road, Stanton, MI 48888 | 2011-05-25 |
| 1497059224 | Dawn Jo Phenix-stoll | In Home Supportive Care | 312 E. Main St., Stanton, MI 48888 | 2011-01-10 |
| 1316247935 | Jenniffer Marie Efaw | Family Medicine | 615 N State St Ste 1, Stanton, MI 48888 | 2010-10-29 |
| 1952637704 | Suzanne A Rasmussen | Massage Therapist | 806 N. State, Stanton, MI 48888 | 2009-10-29 |
| 1790918977 | Faith Works LLC | Massage Therapist | 806 N State St., Stanton, MI 48888 | 2009-09-03 |
| 1659440428 | David Lee Dockham | Dentist | 800 North State Rd, Stanton, MI 48888 | 2006-11-07 |
| 1710074448 | Montcalm Care Network | Community/Behavioral Health | 611 N State Street, Stanton, MI 48888 | 2006-10-06 |
| 1821068479 | Sparrow Carson Hospital | Clinic/Center | 545 N State St, Stanton, MI 48888 | 2006-01-25 |
| 1912160615 | David M Clay | Chiropractor | 806 N State St, Suite B, Stanton, MI 48888 | 2008-07-03 |
| Find all providers in zip 48888 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205111598 | Leyna Phuong Vo | Counselor | 10521 Courson Dr, Stanton, CA 90680-2101 | 2011-10-18 |
| 1588822373 | Michelle Lynn Thor | Counselor | 82958 Highway 57, Stanton, NE 68779-7835 | 2008-05-28 |
| 1770116980 | Samantha L Hershberger | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2020-02-17 |
| 1427615251 | Shelby Katherine Williams | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2019-05-28 |
| 1730671173 | Gabrielle Winright | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2018-06-01 |
| 1154812683 | Courtney Elizabeth Palmer | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2018-05-21 |
| 1215434824 | Kelly Marie Barber | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2018-04-10 |
| 1194244665 | Ann Louise Tyson | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2017-09-15 |
| 1669991139 | Ashley Ann Swanchara | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2017-09-15 |
| 1679092241 | Jackie Ann Burns | Counselor | 611 N State St, Stanton, MI 48888-9702 | 2017-09-15 |
| Find all providers in STANTON | ||||
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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.