LESTER LONG


Address: 1156 Woodland Ave Ne, Atlanta, GA 30324-4400
Phone: 4047726757

LESTER LONG (NPI# 1477032217) 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) 1477032217
Entity Type Individual
Full Name LESTER LONG
Practice Address 1156 Woodland Ave Ne
Atlanta
GA 30324-4400
Practice Telephone 4047726757
Mailing Telephone 4047726757
Enumeration Date 2018-08-13
Last Update Date 2018-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
044 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1156 WOODLAND AVE NE
City ATLANTA
State GA
Zip Code 30324-4400

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City ATLANTA
Zip Code 30324

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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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