MS. MICHELLE DIANE LONG


Address: 1910 Towne Centre Blvd, Annapolis, MD 21401-3598
Phone: 3014943090

MS. MICHELLE DIANE LONG (NPI# 1326654161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326654161
Entity Type Individual
Full Name MS. MICHELLE DIANE LONG
Credential LGPAT
Practice Address 1910 Towne Centre Blvd
Annapolis
MD 21401-3598
Mailing Address 12619 Heming Ln
Bowie
MD 20716-1117
Practice Telephone 3014943090
Mailing Telephone 4698346075
Enumeration Date 2020-09-17
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 221700000X Art Therapist ATG267 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
12619 Heming Ln, Bowie, MD 207161117 3014943090

Other Providers MICHELLE LONG

NPI Name Taxonomy Address Enumeration
1912531625 Michelle Alyce Long Occupational Therapist 150 Pinehurst Rd, Portsmouth, NH 03801-5414 2020-03-03
1750735155 Michelle Long Licensed Practical Nurse 632 Hampshire Rd, Dayton, OH 45419-4211 2016-04-21
1053611863 Michelle D Long Massage Therapist 361 Lampe Rd, Selah, WA 98942-9534 2010-10-26
1033573506 Michelle Long Nurse Practitioner 11728 S 226 Hwy, Spruce Pine, NC 28777-8954 2016-04-11
1518327873 Michelle Marie Long Counselor 216 N 3rd St, Sterling, CO 80751-4302 2016-02-29
1013373950 Michelle Long Peer Specialist 1738 S Tremont St, Oceanside, CA 92054-5309 2016-01-07
1356706196 Michelle Long Peer Specialist 1599 State St, Salem, OR 97301-4255 2015-12-21
1396137113 Michelle Long Occupational Therapist 8425 Pulsar Pl, Suite 160, Columbus, OH 43240-2079 2015-03-03
1972811529 Michelle L Long Counselor 2520 Line Ave, Shreveport, LA 71104-3022 2010-09-16
1356663991 Michelle Blackwell Long Physical Therapist 4406 S Florida Ave, Suite #16, Lakeland, FL 33813-2172 2010-02-24

Office Location

Street Address 1910 TOWNE CENTRE BLVD
City ANNAPOLIS
State MD
Zip Code 21401-3598

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710100474 Mark Garzon Family Medicine 1910 Towne Centre Blvd, Suite 210, Annapolis, MD 21401-3598 2007-04-11
1720337546 St. Agnes Hospital General Acute Care Hospital 1910 Towne Centre Blvd, Apt 613, Annapolis, MD 21401 2012-09-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497377154 Michael Khorsandi Student in an Organized Health Care Education/Training Program 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 2020-05-15
1275172033 Katrice N Nelson Massage Therapist Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 2019-12-27
1548803521 Victoria Reimnitz Behavioral Analyst 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 2019-10-23
1700438140 Emily Megan Burke Nurse Practitioner 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 2019-07-16
1316504848 Sherina Maryam Shamsa Counselor 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 2019-05-21
1497225288 Jerilyn Deitch Speech-Language Pathologist Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 2018-12-05
1487124038 Lucinda W Mimms Speech-Language Pathologist 2644 Riva Rd., Annapolis, MD 21401 2018-11-27
1487145496 Michelle Baudean Behavior Technician 1919 West St Ste 201, Annapolis, MD 21401 2018-05-24
1730678954 Stephanie Ruth Streb Registered Nurse 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 2018-05-02
1780183947 Annapolis Sleep Center LLC Clinic/Center 2451 Riva Rd, Annapolis, MD 21401 2018-02-02
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Taxonomy Information

Taxonomy Code 221700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Art Therapist

Taxonomy Definition

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275099319 Anna Mills Art Therapist 1008 Dulaney Valley Rd, Baltimore, MD 21204-2702 2019-02-13
1043781255 Melissa Helen Scherrphillips Art Therapist 191 S East St, Frederick, MD 21701-5918 2018-12-16
1356830665 Lacy Mucklow Art Therapist 7533 Main St Ste 1f, Sykesville, MD 21784-5308 2018-05-02
1427576040 Valor Health, Inc. Art Therapist 11310 Sperry Stream Way, Bowie, MD 20720 2017-09-04
1881780567 Bonnie J Kauffman Art Therapist 10806 Reisterstown Road, Owings Mills, MD 21117 2006-10-04
1407883028 Julie Wood Merchant Art Therapist Frederick County Health Department Substance Abuse Div., 350 Montevue Lane, Frederick, MD 21702 2006-06-27
1386688372 Elaine Parks Art Therapist 12904 Margot Dr, Rockville, MD 20853-3718 2006-06-16
1174565535 Gayle Marie Sutch Art Therapist 5530 Westcott Cir, Frederick, MD 21703-6565 2006-06-11
1306456272 Sunflower Healing Art Therapy, LLC Art Therapist 1707 Rosemont Ave, Frederick, MD 21702-4135 2020-08-05
1346867173 Charlotte G Boston Art Therapist 124 Slade Ave, Pikesville, MD 21208-4900 2020-06-27
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Competitor

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City ANNAPOLIS
Zip Code 21401

Improve Information

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Dataset Information

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.

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