DEBRA LONG (NPI# 1376942441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376942441 |
| Entity Type | Individual |
| Full Name | DEBRA LONG |
| Credential | LPC |
| Practice Address |
5192 Highway 11 N Ellisville MS 39437-5050 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6016497921 |
| Practice Fax Number | 6016497939 |
| Mailing Telephone | 6017051901 |
| Mailing Fax Number | 6017051952 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1738 | MS | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0101 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477089886 | Debra Sue Long | Registered Nurse | 13194 S Cedar Rd, Cedar, MI 49621-9581 | 2017-05-04 |
| 1013990159 | Debra Storlien Long | Dietitian, Registered | 8009 Tonto Pl, El Paso, TX 79904-3123 | 2005-11-22 |
| 1548454747 | Debra E Long | Speech-Language Pathologist | 2520 Valley Dr, Point Pleasant, WV 25550-2031 | 2007-08-30 |
| 1508058728 | Debra Larae Long | Nurse Practitioner | 111 Gateway Center Dr, Kernersville, NC 27284-2999 | 2007-08-12 |
| 1063594406 | Debra S Long | Radiologic Technologist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2006-10-19 |
| 1427097757 | Debra Gail Long | Dietitian, Registered | 1041 Noell Ln, Rocky Mount, NC 27804-2058 | 2006-06-05 |
| Street Address |
5192 HIGHWAY 11 N |
| City | ELLISVILLE |
| State | MS |
| Zip Code | 39437-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780692186 | Rance Scott Ratcliff Jr. | Social Worker | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2006-08-03 |
| 1083255087 | Family Health Center Inc | Clinic/Center | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2019-10-01 |
| 1427575836 | Wanda Parker | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-25 |
| 1720504004 | Audrey Mccullum | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-17 |
| 1821514662 | Tina Hawkins | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1407372261 | Tracie Miller | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1871017046 | Lasha Bayless | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| 1790209971 | Pam Dennis | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| 1780038380 | Alisia Hansell | Social Worker | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2016-04-20 |
| 1992903181 | Heather Johnson | Social Worker | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
| 1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
| 1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
| 1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
| 1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
| 1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
| 1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
| 1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
| 1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
| 1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
| Find all providers in zip 39437 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861844698 | Kelly Larkin | Counselor | 811 Corvallis Ct., Ellisville, MO 63021-4767 | 2016-07-05 |
| 1811241763 | Sandra Irene Young | Counselor | 271 Clarkson Executive Park, Ellisville, MO 63011-2173 | 2012-10-30 |
| 1912939224 | Cynthia N Webster | Counselor | 116 Clarkson Executive Park, Ellisville, MO 63011 | 2006-07-07 |
| 1851388946 | David G Guckes | Counselor | 300 Ozark Trail Dr, Suite 226, Ellisville, MO 63011-2166 | 2005-10-04 |
| 1427575836 | Wanda Parker | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-25 |
| 1720504004 | Audrey Mccullum | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-17 |
| 1821514662 | Tina Hawkins | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1407372261 | Tracie Miller | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1871017046 | Lasha Bayless | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| 1790209971 | Pam Dennis | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 39437 |
Please comment or provide details below to improve the information on DEBRA LONG.
| 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.