STACIE LONG


Address: 1402 Grandin Rd Sw Ste 207, Roanoke, VA 24015-2348
Phone: 5405231673

STACIE LONG (NPI# 1427526680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427526680
Entity Type Individual
Full Name STACIE LONG
Credential NCC, LPC
Practice Address 1402 Grandin Rd Sw Ste 207
Roanoke
VA 24015-2348
Mailing Address 108 Duncraig Dr
Lynchburg
VA 24502-3335
Practice Telephone 5405231673
Mailing Telephone 4342379450
Mailing Fax Number 4342379454
Enumeration Date 2018-11-06
Last Update Date 2019-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0701007971 VA Behavioral Health & Social Service Providers

Office Location

Street Address 1402 GRANDIN RD SW STE 207
City ROANOKE
State VA
Zip Code 24015-2348

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326549163 Manu Singh Physical Therapist 1327 Grandin Rd #243, Roanoke, VA 24015 2018-02-27
1952828329 Lisa Nielsen Early Intervention Provider Agency 2112 Maiden Lane Sw, Roanoke, VA 24015 2017-08-27
1518304955 Blue Ridge Healthcare Partners, LLC Clinic/Center 602 Brandon Ave, Suite 222, Roanoke, VA 24015 2013-05-24
1184938185 Pamela Jean Merritt Dentist 2022 Brambleton Ave Sw, Roanoke, VA 24015 2010-08-02
1093957458 Susan Wohlford Speech-Language Pathologist 2030 Colonial Avenue Sw, Roanoke, VA 24015 2009-04-01
1922141811 Robert Douglas Ross Dentist 1602 Grandin Rd, Roanoke, VA 24015 2007-02-14
1043395825 Michael Burgoon Chiropractor 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 2006-10-27
1245342237 Roanoke Family Medicine Family Medicine Roanoke Family Medicine Inc, Roanoke, VA 24015 2006-08-31
1861971475 Molly Amelia Southard Behavior Technician 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 2018-08-14
1740769009 Makayla Ramsey Behavior Technician 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 2018-08-08
Find all providers in zip 24015

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548872021 Insights & Inspiration, LLC Counselor 6235 Buckland Mill Rd, Roanoke, VA 24019-6709 2020-08-17
1689283525 Lea Ann Crawford Counselor 1401 Pine Ridge Rd, Roanoke, TX 76262-6444 2020-07-27
1972129435 Abrina Marie Schnurman-crook Counselor 2022 Maiden Ln Sw, Roanoke, VA 24015-2310 2020-06-21
1669095410 Kaisha Williams Counselor 6870 Woodcreeper Dr, Roanoke, VA 24019-3816 2020-05-27
1003439043 Mary Francis Counselor 175 Summit Way Sw, Roanoke, VA 24014-5156 2020-05-26
1720618804 Angela Dee Conway Counselor 15476 Yarberry Dr, Roanoke, TX 76262-3351 2020-01-17
1235786997 Jayna Madeleine Ratliff Counselor 3807 Brandon Ave Sw Ste 1115, Roanoke, VA 24018-1490 2019-08-19
1205496353 Jennie Antonette Sitman Counselor 5220 Hazelridge Rd Nw, Roanoke, VA 24012-1542 2019-06-19
1063072312 Restore Family Counseling, Inc. Counselor 3959 Electric Rd Ste 125, Roanoke, VA 24018-4559 2019-06-18
1760949051 Sabrina M Cowan Counselor 3524 Brambleton Ave Ste 6, Roanoke, VA 24018-6528 2019-02-22
Find all providers in ROANOKE

Competitor

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City ROANOKE
Zip Code 24015

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Dataset Information

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.

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