Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1801548102


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CHRISTY LONG MS, LMHC


Sex: Female

NPI: 1801548102
Last Updated: 2024-07-11
Certification Date: 2024-07-11

Details

NameValue
NPI1801548102
Enumeration Date2022-01-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068-4357
United States

Phone: | Fax:
 
Primary Practice Address 115 COLLEGE DR
ORANGE PARK, FL 32065-9035
United States

Phone: 904-602-9802 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH23818