George Clinton Long, LMHC | |
5664 Sw 60th Ave Bldg 2, Ocala, FL 34474-5694 | |
(800) 539-4228 | |
(352) 291-5588 |
Full Name | George Clinton Long |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5664 Sw 60th Ave Bldg 2, Ocala, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518923655 | NPI | - | NPPES |
Z053N | Other | FL | BCBS PROVIDER NUMBER |
761035100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH 4520 (Florida) | Primary |
Entity Name | Sma Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483 |
Mailing Address | Practice Location Address |
---|---|
George Clinton Long, LMHC 150 Magnolia Ave, Daytona Beach, FL 32114-4304 Ph: (386) 236-3225 | George Clinton Long, LMHC 5664 Sw 60th Ave Bldg 2, Ocala, FL 34474-5694 Ph: (800) 539-4228 |
Frances Ann Blitch, ED.S, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Sw 108th St, Ocala, FL 34476 Phone: 352-402-0958 | |
Julia Collman, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Nw 3rd St, Ocala, FL 34482 Phone: 352-234-4187 | |
Theodore R Deroche, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2760 Se 17th Street, Suite 300, Ocala, FL 34471 Phone: 352-629-4113 Fax: 386-439-1403 | |
Ayme Ruth Hadascok, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Ne 1st Ave, Ocala, FL 34470 Phone: 352-732-6565 | |
Janae B Weinhold, PHD LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5261 Se 15th Ave, Ocala, FL 34480 Phone: 719-304-6176 | |
Miss Sherri Lee Silvestri, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5664 Sw 60th Ave, Ocala, FL 34474 Phone: 352-351-6900 | |
Mr. Murphey Balkcom Ii, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Ne 1st Ave, Ocala, FL 34470 Phone: 352-732-6565 |