MS. MICHELLE DIANE LONG (NPI# 1326654161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326654161 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE DIANE LONG |
| Credential | LGPAT |
| Practice Address |
1910 Towne Centre Blvd Annapolis MD 21401-3598 |
| Mailing Address |
12619 Heming Ln Bowie MD 20716-1117 |
| Practice Telephone | 3014943090 |
| Mailing Telephone | 4698346075 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | ATG267 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12619 Heming Ln, Bowie, MD 207161117 | 3014943090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531625 | Michelle Alyce Long | Occupational Therapist | 150 Pinehurst Rd, Portsmouth, NH 03801-5414 | 2020-03-03 |
| 1750735155 | Michelle Long | Licensed Practical Nurse | 632 Hampshire Rd, Dayton, OH 45419-4211 | 2016-04-21 |
| 1053611863 | Michelle D Long | Massage Therapist | 361 Lampe Rd, Selah, WA 98942-9534 | 2010-10-26 |
| 1033573506 | Michelle Long | Nurse Practitioner | 11728 S 226 Hwy, Spruce Pine, NC 28777-8954 | 2016-04-11 |
| 1518327873 | Michelle Marie Long | Counselor | 216 N 3rd St, Sterling, CO 80751-4302 | 2016-02-29 |
| 1013373950 | Michelle Long | Peer Specialist | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2016-01-07 |
| 1356706196 | Michelle Long | Peer Specialist | 1599 State St, Salem, OR 97301-4255 | 2015-12-21 |
| 1396137113 | Michelle Long | Occupational Therapist | 8425 Pulsar Pl, Suite 160, Columbus, OH 43240-2079 | 2015-03-03 |
| 1972811529 | Michelle L Long | Counselor | 2520 Line Ave, Shreveport, LA 71104-3022 | 2010-09-16 |
| 1356663991 | Michelle Blackwell Long | Physical Therapist | 4406 S Florida Ave, Suite #16, Lakeland, FL 33813-2172 | 2010-02-24 |
| Street Address |
1910 TOWNE CENTRE BLVD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710100474 | Mark Garzon | Family Medicine | 1910 Towne Centre Blvd, Suite 210, Annapolis, MD 21401-3598 | 2007-04-11 |
| 1720337546 | St. Agnes Hospital | General Acute Care Hospital | 1910 Towne Centre Blvd, Apt 613, Annapolis, MD 21401 | 2012-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275099319 | Anna Mills | Art Therapist | 1008 Dulaney Valley Rd, Baltimore, MD 21204-2702 | 2019-02-13 |
| 1043781255 | Melissa Helen Scherrphillips | Art Therapist | 191 S East St, Frederick, MD 21701-5918 | 2018-12-16 |
| 1356830665 | Lacy Mucklow | Art Therapist | 7533 Main St Ste 1f, Sykesville, MD 21784-5308 | 2018-05-02 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1881780567 | Bonnie J Kauffman | Art Therapist | 10806 Reisterstown Road, Owings Mills, MD 21117 | 2006-10-04 |
| 1407883028 | Julie Wood Merchant | Art Therapist | Frederick County Health Department Substance Abuse Div., 350 Montevue Lane, Frederick, MD 21702 | 2006-06-27 |
| 1386688372 | Elaine Parks | Art Therapist | 12904 Margot Dr, Rockville, MD 20853-3718 | 2006-06-16 |
| 1174565535 | Gayle Marie Sutch | Art Therapist | 5530 Westcott Cir, Frederick, MD 21703-6565 | 2006-06-11 |
| 1306456272 | Sunflower Healing Art Therapy, LLC | Art Therapist | 1707 Rosemont Ave, Frederick, MD 21702-4135 | 2020-08-05 |
| 1346867173 | Charlotte G Boston | Art Therapist | 124 Slade Ave, Pikesville, MD 21208-4900 | 2020-06-27 |
| Find all providers with the same taxonomy | ||||
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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.