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NPI Code Detail

MEDICARE: LENITA J LONG LPC-A

MEDICARE: LENITA J LONG LPC-A
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
1101YM0800XMental Health CounselorA9294NC

General Provider Information

NPI Number : 1831450634
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENITA J LONG LPC-A
Provider Business Mailing Address
First Line : 3210 FAIRHILL DR
Second Line :
City : RALEIGH
State : NC
Zip : 27612-3215
Country : US
Telephone Number : 919-256-0824
Fax Number : 919-256-0833
Provider Business Practice Location Address
First Line : 309 WYCHE ST
Second Line :
City : HENDERSON
State : NC
Zip : 27536-4246
Country : US
Telephone Number : 252-438-2581
Fax Number : 252-428-6364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2012
Last Update Date : 05/11/2026

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Directions to “ LENITA J LONG LPC-A” Practice Location

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