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NPI Code Detail

MEDICARE: JULIE LONG LMTP, BCMT

MEDICARE:   JULIE  LONG  LMTP, BCMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach
2174H00000XHealth Educator
3225600000XDance Therapist
4225800000XRecreation Therapist
5251E00000XHome Health Agency
63747A0650XAttendant Care Provider
7385H00000XRespite Care
8225700000XMassage Therapist0019003869VA

General Provider Information

NPI Number : 1225801624
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE LONG LMTP, BCMT
Provider Business Mailing Address
First Line : 3481 HOWARD RD
Second Line :
City : RICHMOND
State : VA
Zip : 23223-1429
Country : US
Telephone Number : 804-726-0197
Fax Number :
Provider Business Practice Location Address
First Line : 2707 DELMONICO DR
Second Line :
City : RICHMOND
State : VA
Zip : 23223-2532
Country : US
Telephone Number : 804-212-2698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2023
Last Update Date : 11/07/2023

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Directions to “ JULIE LONG LMTP, BCMT” Practice Location

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