Ms Lori Beth Long, MED | |
300 S Dixie Hwy Ste A, Lantana, FL 33462-3259 | |
(561) 360-5050 | |
Not Available |
Full Name | Ms Lori Beth Long |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 300 S Dixie Hwy Ste A, Lantana, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083960744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH2035 (Florida) | Primary |
Entity Name | Revelations Treatment Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588114888 PECOS PAC ID: 7012398928 Enrollment ID: O20240229000391 |
Mailing Address | Practice Location Address |
---|---|
Ms Lori Beth Long, MED 6780 Eastview Dr, Lake Worth, FL 33462-3912 Ph: (561) 360-5050 | Ms Lori Beth Long, MED 300 S Dixie Hwy Ste A, Lantana, FL 33462-3259 Ph: (561) 360-5050 |
Les'unique Toynesha Hessing, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Hypoluxo Rd Ste 103, Lantana, FL 33462 Phone: 561-616-8411 | |
Elise Powell, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6788 Massachusetts Dr, Suite #1, Lantana, FL 33462 Phone: 561-670-7839 | |
Vanessa Rae Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7051 Seacrest Blvd, Lantana, FL 33462 Phone: 561-296-5288 Fax: 561-296-5287 | |
Bridget Lisa Heady, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7570 S Federal Hwy, Lantana, FL 33462 Phone: 844-463-3968 | |
Elizabeth Ayebare, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 660 S Dixie Hwy, Lantana, FL 33462 Phone: 561-619-5858 Fax: 561-423-8228 | |
Katrina L Chase, Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 W Mango St, Lantana, FL 33462 Phone: 561-777-0045 |