Mrs Lisa Marie Longo, MAED/WSC | |
814 Desoto Ave, Lehigh Acres, FL 33936-8113 | |
(239) 303-2900 | |
(239) 303-2909 |
Full Name | Mrs Lisa Marie Longo |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 814 Desoto Ave, Lehigh Acres, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902813819 | NPI | - | NPPES |
682566496 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Direct Access Counseling & Supportive Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Marie Longo, MAED/WSC 814 Desoto Ave, Lehigh Acres, FL 33936-8113 Ph: (239) 303-2900 | Mrs Lisa Marie Longo, MAED/WSC 814 Desoto Ave, Lehigh Acres, FL 33936-8113 Ph: (239) 303-2900 |
Mrs. Doris Wei Magee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 6th St W, Lehigh Acres, FL 33971 Phone: 267-475-3269 | |
Roshini Rampersaud Joseph, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Rowland Rd, Lehigh Acres, FL 33936 Phone: 239-888-9194 | |
Mr. Joselyn Peters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Homestead Rd N, Lehigh Acres, FL 33936 Phone: 239-491-8092 Fax: 239-491-9213 | |
Amanda Bethurem, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 Plaza Dr Ste D, Lehigh Acres, FL 33936 Phone: 239-690-6906 | |
Kimberly Samuels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1503 Greenwood Ave, Lehigh Acres, FL 33972 Phone: 863-234-1124 | |
Mrs. Chris Anne Seluk, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 425 Morgan Cir S, Lehigh Acres, FL 33936 Phone: 239-810-2386 | |
Irma De Hombre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 813 Mckinley Ave, Lehigh Acres, FL 33972 Phone: 239-234-7434 |