MR. MICHAEL BRANDON LONG (NPI# 1457545097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457545097 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL BRANDON LONG |
| Credential | MA |
| Practice Address |
541 Veloce Trl Fort Mill SC 29715-7826 |
| Practice Telephone | 8035470421 |
| Mailing Telephone | 8035470421 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2751 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1184096182 | Michael Keith Long | Registered Nurse | 606 N Kanawha St, Beckley, WV 25801-3819 | 2015-10-29 |
| 1679982110 | Michael Long | Pharmacist | 687 150th Ave, Monmouth, IL 61462-8719 | 2014-08-08 |
| 1700905445 | Michael Ray Long | Acupuncturist | 1879 Portola Rd Ste L, Ventura, CA 93003-8095 | 2007-03-27 |
| 1538234745 | Michael Walter Long | Dentist | 78461 Highway 111, Plaza Dental Group, La Quinta, CA 92253-2076 | 2006-11-22 |
| 1205858578 | Michael Golden Long | Dentist | 7730 N Fresno St, Ste. 102, Fresno, CA 93720-2408 | 2006-07-24 |
| 1043239775 | Michael Arlin Long | Physician Assistant | 450 4th St., Dassel, MN 55325 | 2006-07-19 |
| 1053394700 | Michael Harrison Long | Physician Assistant | 870 Summit Crossing Pl, Gastonia, NC 28054 | 2005-11-28 |
| 1790336998 | Michael Thomas Long | Psychologist | 921 Chester Pike, Sharon Hill, PA 19079-1411 | 2019-09-27 |
| 1699320606 | Michael C Long | Physical Therapist | 330 Upland Way, Green River, WY 82935-6401 | 2019-08-06 |
| Street Address |
541 VELOCE TRL |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| 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 |
|---|---|---|---|---|
| 1902413214 | Kasey Knight Ennis | Counselor | 9260 Asbury Ln, Fort Mill, SC 29707-7527 | 2020-09-30 |
| 1588225767 | Natalie L Hyland | Counselor | 1850 Shady Pine Cir, Fort Mill, SC 29715-8689 | 2019-06-27 |
| 1689148876 | Jenelle Latrice Mcelveen | Counselor | 150 Bw Thomas Dr Ste 102-103, Fort Mill, SC 29708-7230 | 2019-01-22 |
| 1376097220 | Michael Truesdale | Counselor | 8251 Chatsworth Dr, Fort Mill, SC 29707-1571 | 2016-08-09 |
| 1144532078 | Jessica Ann Jacobson | Counselor | 302 Tom Hall St, Suite 5, Fort Mill, SC 29715-2338 | 2010-07-08 |
| 1437534914 | Jewell Thompson | Counselor | 150 Bw Thomas Dr, Fort Mill, SC 29708-7230 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1467051953 | Deontay Adrain Winchester | Counselor | 500 S Kaminski St Ste 213, Georgetown, SC 29440-3435 | 2020-10-26 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1467068585 | Tranquility Counseling | Counselor | 1101 Sweetwater Blvd, Murrells Inlet, SC 29576-8872 | 2020-09-23 |
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1447863196 | Brenda K Ishmael | Counselor | 232 Neeses Camp Rd, Neeses, SC 29107-9428 | 2020-08-24 |
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1427675438 | Melissa Nickens Mcbride | Counselor | 2625 Fossil Ln, Sumter, SC 29153-9519 | 2020-06-25 |
| 1194341487 | Elizabeth Manigault | Counselor | 763 Meeting St Ste 200, Charleston, SC 29403-3146 | 2020-06-22 |
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 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.