LISA C LONG (NPI# 1679897797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679897797 |
| Entity Type | Individual |
| Full Name | LISA C LONG |
| Credential | RN |
| Practice Address |
1035 Cheraw St Bennettsville SC 29512 |
| Mailing Address |
Po Box 918 Bennettsville SC 29512 |
| Practice Telephone | 8434540442 |
| Practice Fax Number | 8434540212 |
| Mailing Telephone | 8434540841 |
| Mailing Fax Number | 8434540635 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
212783 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 405127 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073808507 | Lisa Long | Psychologist | 1524 Duckworth Ave, Charlotte, NC 28208-4315 | 2011-06-13 |
| 1730331828 | Lisa Sheri Long | Speech-Language Pathologist | 5 Settlers Rdg S, Malta, NY 12020-3755 | 2008-10-21 |
| 1801072020 | Lisa Lavonn Long | Clinical Nurse Specialist | 2800 Campus Dr, Suite 30, Plymouth, MN 55441-2645 | 2008-01-17 |
| 1104818731 | Lisa R Long | Chiropractor | 307 E Karsch Blvd, Farmington, MO 63640-1203 | 2005-08-19 |
| 1376015321 | Lisa Marie Long | Occupational Therapy Assistant | 725 Columbus Ave, Fostoria, OH 44830-3255 | 2018-12-31 |
| 1356831572 | Lisa Long | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2018-05-14 |
| 1033639380 | Lisa Monique Long | Technician, Other | 1702 N Collins Blvd Ste 250, Richardson, TX 75080-3655 | 2017-06-27 |
| 1174052740 | Lisa C Long | Case Management | 6480 N Star Ln, Paso Robles, CA 93446-7639 | 2017-06-07 |
| 1609323641 | Lisa Long | Pharmacist | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2016-09-07 |
| 1154780864 | Lisa Long | Case Manager/Care Coordinator | 502 Farrell Dr, Covington, KY 41011-3717 | 2016-02-23 |
| Street Address |
1035 CHERAW ST |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306958483 | Tameka Andrea Lloyd | Counselor | 1035 Cheraw St, Bennettsville, SC 29512 | 2006-08-31 |
| 1295332690 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 1035 Cheraw St, Bennettsville, SC 29512-2422 | 2020-10-08 |
| 1598319865 | Francheska Lasha Smith | Counselor | 1035 Cheraw St, Bennettsville, SC 29512 | 2019-07-25 |
| 1467776583 | Pamela Lorraine Jones | Counselor | 1035 Cheraw St, Bennettsville, SC 29512 | 2010-03-18 |
| 1881853612 | Latisha Rochelle Bowens | Counselor | 1035 Cheraw St, Bennettsville, SC 29512-0918 | 2008-06-06 |
| 1528248481 | Katie Grace Bateman | Counselor | 1035 Cheraw St, Bennettsville, SC 29512-0918 | 2007-11-08 |
| 1770776494 | Vivian J Tinker | Counselor | 1035 Cheraw St, Bennettsville, SC 29512 | 2007-08-27 |
| 1013085117 | Cynthia D Maxwell | Counselor | 1035 Cheraw St, Bennettsville, SC 29512 | 2006-11-30 |
| 1417069501 | Felicitas Cruz Bugarin | Psychiatry & Neurology | 1035 Cheraw St, Bennettsville, SC 29512 | 2006-08-31 |
| 1518078633 | Angela Currie Warren | Counselor | 1035 Cheraw St, Tri County Mental Health Center, Bennettsville, SC 29512 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104938232 | Catherine W Erwin | Registered Nurse | 1035 Cheraw Hwy, Tri County Community Mental Health Center, Bennettsville, SC 29512 | 2006-08-31 |
| 1922119031 | Betty R Bethea | Registered Nurse | 1197 Hamlet Hwy Box 13, Bennettsville, SC 29512 | 2006-08-31 |
| 1477056372 | Quaneaka Chintell Reed | Registered Nurse | 1035 Cheraw St., Bennettsville, SC 29512 | 2018-03-16 |
| 1720375298 | Lacey Whitaker Lee | Registered Nurse | 1035 Cheraw St., Bennettsville, SC 29512 | 2011-07-06 |
| 1104053016 | Stephanie Lamar Black | Registered Nurse | 1035 Cheraw Street, Bennettsville, SC 29512 | 2009-06-18 |
| 1528214418 | Rose Jackson | Registered Nurse | 1035 Cheraw St., Bennettsville, SC 29512-0918 | 2008-08-12 |
| 1790969707 | Natalie Monique Quick | Registered Nurse | 1197 Hamlet Hwy, Bennettsville, SC 29512 | 2007-12-27 |
| 1588775613 | Carolyn T Cohen | Registered Nurse | 1035 Cheraw St, Bennettsville, SC 29512 | 2006-08-31 |
| 1902918063 | Susan G Reed | Registered Nurse | 1035 Cheraw St, Bennettsville, SC 29512 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773326 | Edith Bostic | Registered Nurse | 409 Paul St, Conway, SC 29527-5823 | 2019-10-31 |
| 1073167185 | Shyeasha Wilson | Registered Nurse | 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 | 2019-07-26 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1689122640 | Chanelle M Johnson | Registered Nurse | 217 Gateway Ln, Columbia, SC 29210-7452 | 2016-09-19 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| 1902212251 | New Day Emotional Care, LLC | Registered Nurse | 2117 W Palmetto St Ste A, Florence, SC 29501-3902 | 2014-07-08 |
| 1194137091 | Carmen White-baltimore | Registered Nurse | 4794 Baltimore Pl, Charleston, SC 29418-3485 | 2014-05-27 |
| 1518381599 | Rosalinde M Rhynes | Registered Nurse | 3805 Saluda Rd, Rock Hill, SC 29730-7262 | 2014-02-11 |
| 1952654527 | Veronica Smith | Registered Nurse | 3473 Lockhart Hwy, Union, SC 29379-8526 | 2012-10-19 |
| 1154670586 | Karissa Ann Chorbajian | Registered Nurse | 248 Earle Dr, Greenville, SC 29611-4408 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
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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.