Healthcare Provider Details

I. General information

NPI: 1164351508
Provider Name (Legal Business Name): HEATHER LONG COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BERRYVILLE AVE STE 1
WINCHESTER VA
22601-5907
US

IV. Provider business mailing address

1919 MILE HIGH STADIUM CIR APT 731
DENVER CO
80204-2765
US

V. Phone/Fax

Practice location:
  • Phone: 720-334-8029
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LONG
Title or Position: CLINICAL MENTAL HEALTH COUNSELOR
Credential: LPC
Phone: 720-334-8029