Provider Demographics
NPI:1386761013
Name:LONG, DENISE ANN (MS, LPC, MAC, LCAS)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANN
Last Name:LONG
Suffix:
Gender:F
Credentials:MS, LPC, MAC, LCAS
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:LONG
Other - Last Name:BENCKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 S PLAINS DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8580
Mailing Address - Country:US
Mailing Address - Phone:828-320-7904
Mailing Address - Fax:800-344-5971
Practice Address - Street 1:501 BILTMORE AVE STE G276.10
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4601
Practice Address - Country:US
Practice Address - Phone:828-213-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMAC215403101YA0400X
NCNBCC215403101YP2500X
NCNCBLPC 2196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC132Y3Medicare UPIN