STACIE LONG (NPI# 1427526680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0701007971 | VA | Behavioral Health & Social Service Providers |
Street Address |
1402 GRANDIN RD SW STE 207 |
City | ROANOKE |
State | VA |
Zip Code | 24015-2348 |
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 Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
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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.