LLOYD COLLINS LONG II (NPI# 1336525286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336525286 |
| Entity Type | Individual |
| Full Name | LLOYD COLLINS LONG II |
| Credential | MA |
| Practice Address |
11565 Laurel Canyon Blvd Ste 116 San Fernando CA 91340-4650 |
| Mailing Address |
8215 Van Nuys Blvd Suite 100 Panorama City CA 91402 |
| Practice Telephone | 8183615030 |
| Mailing Telephone | 8188552270 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2017-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7068 | 05 | |
| CA | 6758 | 05 | |
| CA | 7420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717258 | Lloyd Long | Emergency Medicine | 10444 Sr 66, Newburgh, IN 47630 | 2005-06-01 |
| Street Address |
11565 LAUREL CANYON BLVD STE 116 |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174707335 | Brenda Delacruz | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2007-12-24 |
| 1962038398 | Michele L Ryan | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2020-03-17 |
| 1891335220 | Deseary Monique Burciaga | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2020-01-14 |
| 1457822710 | Cecilia Cortez | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-12-16 |
| 1639654254 | Guadalupe Mabel Luna | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-09-28 |
| 1780165076 | Jasmin Rodriguez | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-08-24 |
| 1720595267 | Brittany Herrera | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-01-05 |
| 1184151367 | Autumn Latour | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2017-05-18 |
| 1356892327 | Sheila Alfaro-santiago | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340 | 2016-10-14 |
| 1245616804 | Diane Rodriguez Olvera | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2015-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771488 | Kristin Townsend | Marriage & Family Therapist | 302 S Brand Blvd, San Fernando, CA 91340-3611 | 2017-10-18 |
| 1730551961 | Amal Shaheen | Marriage & Family Therapist | 1024 N Maclay Ave Ste G, San Fernando, CA 91340-1361 | 2015-10-27 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1629356324 | Jamila Atiya Charles-cometa | Marriage & Family Therapist | 11565 Laurel Canyon Blvd # 1, San Fernando, CA 91340-4168 | 2011-07-28 |
| 1033417464 | Irma Valencia | Marriage & Family Therapist | 110 N Maclay Ave Ste 114, San Fernando, CA 91340-2987 | 2011-03-09 |
| 1629198676 | Corine De La O Ramos | Marriage & Family Therapist | 566 South Brand Boulevard, San Fernando, CA 91340 | 2007-03-30 |
| 1093849697 | Regina M. Petrella | Marriage & Family Therapist | 110 N Maclay Ave Ste 109, San Fernando, CA 91340 | 2007-03-15 |
| 1912030933 | Adrian Ledezma | Marriage & Family Therapist | 11565 Laurel Canyon, San Fernando, UNITED STATES 91340 | 2007-03-13 |
| 1326170499 | Nicholas James Vetter | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 101, San Fernando, CA 91340-4649 | 2007-03-12 |
| 1801928916 | Mayra Yesenia Orellana | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 1162nd, San Fernando, CA 91340-4168 | 2007-03-12 |
| Find all providers in SAN FERNANDO | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
Please comment or provide details below to improve the information on LLOYD COLLINS LONG II.
| 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.