| Carol A Long, LPC | |
|
11166 Tesson Ferry Rd Ste 300, Saint Louis, MO 63123-6966 | |
| (314) 898-0102 | |
| (314) 842-2552 |
| Full Name | Carol A Long |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 11166 Tesson Ferry Rd Ste 300, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346450616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2004003782 (Missouri) | Primary |
| Entity Name | Provident Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710023791 PECOS PAC ID: 0345217279 Enrollment ID: O20050407000335 |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210721003011 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Long, LPC 1048 Cedargate Dr, Saint Louis, MO 63122-2427 Ph: (314) 717-6998 | Carol A Long, LPC 11166 Tesson Ferry Rd Ste 300, Saint Louis, MO 63123-6966 Ph: (314) 898-0102 |
Ms. Shirley Ann Wells, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 S. Kingshighway Blvd, Family Resource Center, Saint Louis, MO 63139 Phone: 314-534-1204 | |
Mr. Eric Scott Baile, M.DIV., MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 763 S New Ballas Rd, Suite 340, Saint Louis, MO 63141 Phone: 314-872-2972 Fax: 314-872-2975 | |
William Lagrand, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9200 Watson Rd, Ste. G101, Saint Louis, MO 63126 Phone: 314-544-3800 Fax: 314-843-0552 | |
Mary Ann Williamson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7777 Bonhomme Ave, Suite 909, Saint Louis, MO 63105 Phone: 800-356-0845 | |
Erin Rachel Hendrickson, MAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hampton Ave, Saint Louis, MO 63139 Phone: 314-913-3691 | |
Bobby Joe Goodman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste B300, Saint Louis, MO 63112 Phone: 314-469-4908 | |
Andrew Bryan Conrad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10845 Olive Blvd Ste 150, Saint Louis, MO 63141 Phone: 314-561-9757 |