Mrs Kimberly Ann Long, LMHC | |
2944 Penn Ave, Marianna, FL 32448-2738 | |
(526) 550-0850 | |
Not Available |
Full Name | Mrs Kimberly Ann Long |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2944 Penn Ave, Marianna, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447841200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH18792 (Florida) | Primary |
Entity Name | Chrysalis Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319 |
Mailing Address | Practice Location Address |
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Mrs Kimberly Ann Long, LMHC 760 Spring Meadows Rd, Quincy, FL 32351-7655 Ph: (850) 557-2681 | Mrs Kimberly Ann Long, LMHC 2944 Penn Ave, Marianna, FL 32448-2738 Ph: (526) 550-0850 |
Miss Sarah Sun, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5173 Woodgate Way, Marianna, FL 32446 Phone: 850-526-0011 | |
Mr. Charles Edward Donald Jr., RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 2667 Highway 73, Marianna, FL 32448 Phone: 850-209-2727 | |
Theresa Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-522-4485 Fax: 850-522-4484 | |
Priscilla Robinette I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2944 Penn Ave Ste L, Marianna, FL 32448 Phone: 850-526-5500 | |
Mrs. Jacques N Worlds, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2092 Athens Ct, Marianna, FL 32448 Phone: 850-482-1177 | |
Tri'na Elisa Blackshear, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4254 Elm St, Marianna, FL 32448 Phone: 850-272-8099 | |
Kimberly Wadsworth, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4185 Bowers St, Marianna, FL 32448 Phone: 850-482-5457 |