ELIZABETH LONG (NPI# 1174871784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174871784 |
| Entity Type | Individual |
| Full Name | ELIZABETH LONG |
| Credential | PCC |
| Practice Address |
3821 Little York Rd. Dayton OH 45414 |
| Mailing Address |
534 Rader Dr. Vandalia OH 45377 |
| Practice Telephone | 9374540092 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E0602164 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501123 | Elizabeth Kay Long | Nurse Practitioner | 27258 Monique Ridge Ln, Spring, TX 77386-4044 | 2017-11-08 |
| 1134653637 | Elizabeth Long | Speech-Language Pathologist | 307 Upton St, Winston Salem, NC 27103-1735 | 2017-04-12 |
| 1336409770 | Elizabeth Perry Long | Lactation Consultant, Non-RN | 4004 Keble Dr, Charlotte, NC 28269-1405 | 2012-05-19 |
| 1467764134 | Elizabeth Noami Long | Counselor | 1003 E Main St Ste 104, Medford, OR 97504 | 2010-07-09 |
| 1346496270 | Elizabeth Long | Specialist | 342 Mulberry Ct, B1, Bartlett, IL 60103-7961 | 2008-08-12 |
| 1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
| 1225636236 | Elizabeth C Long | Counselor | 100 Arapahoe Ave Ste 9, Boulder, CO 80302-5854 | 2020-10-12 |
| 1427669191 | Elizabeth Long | Pharmacist | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2020-08-14 |
| 1093350670 | Elizabeth Mary Long | Registered Nurse | 3400 Spruce St, Rhoads 5, Philadelphia, PA 19104 | 2019-11-07 |
| 1194372102 | Elizabeth Long | Social Worker | 1169 Eastern Pkwy Ste 3364, Louisville, KY 40217-1415 | 2019-08-23 |
| Street Address |
3821 LITTLE YORK RD. |
| City | DAYTON |
| State | OH |
| Zip Code | 45414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| 1083930762 | Stonespring Transitional Care Center, LLC | Skilled Nursing Facility | 4000 Singing Hills Blvd, Dayton, OH 45414 | 2010-04-20 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879248 | Calypso Counseling, LLC | Counselor | 77 W Elmwood Dr Ste 303, Dayton, OH 45459-4270 | 2020-10-23 |
| 1578170403 | Nicholas Daniel Defazio | Counselor | 1951 S Gettysburg Ave, Dayton, OH 45417-4160 | 2020-09-24 |
| 1518576016 | Butler County Community Health Consortium, Inc. | Counselor | 2011 Timber Ln Ste B, Dayton, OH 45414-4528 | 2020-07-30 |
| 1578102075 | Yvonne De La Paix | Counselor | 350 Dayton Valley Rd Apt 15, Dayton, NV 89403-8918 | 2019-12-31 |
| 1346885530 | Arrell Johnson | Counselor | 120 Devonhurst Dr Apt F, Dayton, OH 45429-2180 | 2019-11-12 |
| 1235798968 | Joshua Minnich | Counselor | 1129 Miamisburg Centerville Rd # 201, Dayton, OH 45449-4004 | 2019-06-06 |
| 1669039418 | Lornette Darden Dallas | Counselor | South Community Behavioral Healthcare, 3095 Kettering Blvd, Dayton, OH 45439-2900 | 2019-05-28 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1447742895 | Darreon Darrell Greer Sr. | Counselor | Counseling and Wellness Services 053 Student Union, Dayton, OH 45435-0001 | 2018-06-01 |
| 1407366511 | Dominique Dixon | Counselor | 1 Elizabeth Pl Ste Rt-1, Dayton, OH 45417-3445 | 2017-10-03 |
| Find all providers in DAYTON | ||||
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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.