MARY MARGARET LONG LCPC MAC NPI 1629102124

NPI Information

  • NPI: 1629102124
  • Provider Name: MARY MARGARET LONG, LCPC, MAC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: AVENUE D'OSLO BLDG 401
    UNIT 21420
    APO, AE
    ZIP 09705
  • Phone: (314) 566-5320

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NPI Details

Mary Margaret Long, LCPC, MAC is a professional counselor in Apo, AE. Mary Margaret Long, LCPC, MAC NPI is 1629102124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

AVENUE D'OSLO BLDG 401
UNIT 21420
APO, AE
ZIP 09705
Phone: (314) 566-5320

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)501904No
2101YP2500XCounselorProfessionalLCPC-3666IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010146797OTHERIDAHOREGENCE BLUE SHIELD
2Q7358OTHERIDAHOBLUE CROSS OF IDAHO
3002269500MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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