Provider Demographics
NPI:1316086390
Name:LONG, EMILY RAE (LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:RAE
Last Name:LONG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2456
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-2456
Mailing Address - Country:US
Mailing Address - Phone:828-713-3350
Mailing Address - Fax:
Practice Address - Street 1:2 SCIENCE OF MIND WAY
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1444
Practice Address - Country:US
Practice Address - Phone:828-713-3350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor