MEDICARE: LONG JOURNEY COUNSELING, LLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1225995277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG JOURNEY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 14343
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-0343
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9621 6TH BAY ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-1107
Country	:	US
Telephone Number	:	703-951-7559
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PSYCHOTHERAPIST
Name	:	GENEVIEVE LONG
Credential	:	LCSW
Telephone Number	:	703-951-7559

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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