Provider Demographics
NPI:1528475209
Name:THE LONG CENTER FOR PSYCHOLOGY
Entity type:Organization
Organization Name:THE LONG CENTER FOR PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR A
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:828-524-4110
Mailing Address - Street 1:PO BOX 2076
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28744-2076
Mailing Address - Country:US
Mailing Address - Phone:828-524-4110
Mailing Address - Fax:828-349-8983
Practice Address - Street 1:258 LOPES CIR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3527
Practice Address - Country:US
Practice Address - Phone:828-524-4110
Practice Address - Fax:828-349-8983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11002251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health