BETH LONG, PHD, LPC (NPI# 1285282723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285282723 |
| Entity Type | Organization |
| Organization Name | BETH LONG, PHD, LPC |
| Practice Address |
8650 Minnie Brown Rd Ste 233 Montgomery AL 36117-7433 |
| Mailing Address |
25 Overbrook St Pike Road AL 36064-3069 |
| Practice Telephone | 2567106011 |
| Mailing Telephone | 2567106011 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | DR. CLARA ELIZABETH LONG (OWNER) |
| Authorized Official Telephone | 2567106011 |
| Authorized Official Credential | LPC, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS/BLUE SHIELD | 1205333283 | 01 |
| AL | 1205333283 | 05 | |
| AL | TRICARE | 1205333283 | 01 |
| Street Address |
8650 MINNIE BROWN RD STE 233 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962765 | Tri-rivers Counseling Associates LLC | Counselor | 8650 Minnie Brown Rd Ste 233, Montgomery, AL 36117-7433 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162376 | Kasey Leigh Byrd | Counselor | 106 Pine Crest Cir, Montgomery, TX 77316-1471 | 2020-10-22 |
| 1902423858 | Glenn Paul Winkler | Counselor | 500 Interstate Park Dr Ste 522, Montgomery, AL 36109-5489 | 2020-06-26 |
| 1457973950 | Kristin Nicole Byrd | Counselor | 935 S Perry St, Montgomery, AL 36104-5021 | 2020-05-07 |
| 1811527344 | Juanita Dalvery Barnett | Counselor | 6000 Monticello Dr, Montgomery, AL 36117-1907 | 2020-01-23 |
| 1982242756 | Kendra Rhodes | Counselor | 1337 Richton Rd, Montgomery, AL 36117-8932 | 2019-12-12 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1316502248 | Keila Cares, LLC | Counselor | 4758 Woodmere Blvd Ste H, Montgomery, AL 36106-3076 | 2019-05-06 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1861953739 | Laquanda Wiggins | Counselor | 8448 Crossland Loop Ste 163, Montgomery, AL 36117-0951 | 2019-03-25 |
| 1942769443 | Cheryl L Whetstone | Counselor | 3214 Babette Cir, Montgomery, AL 36116-3913 | 2019-03-14 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on BETH LONG, PHD, LPC.
| 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.