| Mrs Lisa Long Hudgens, MA | |
|
New Life Center, 102 Ginn Altman Ave, Ste C, Hampton, SC 29924 | |
| (803) 943-8175 | |
| Not Available |
| Full Name | Mrs Lisa Long Hudgens |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | New Life Center, Hampton, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235217290 | NPI | - | NPPES |
| 190166 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Long Hudgens, MA 102 Ginn Altman Ave Ste C, Hampton, SC 29924-3963 Ph: (803) 943-2800 | Mrs Lisa Long Hudgens, MA New Life Center, 102 Ginn Altman Ave, Ste C, Hampton, SC 29924 Ph: (803) 943-8175 |
James Holley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Ginn Altman Ave, Suite C, Hampton, SC 29924 Phone: 803-943-2800 Fax: 803-943-2267 | |
Willie Mae Cohen, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Ginn Altman Ave, Suite C, Hampton, SC 29924 Phone: 803-943-2800 Fax: 803-943-2267 | |
Ray Lee George, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Ginn Altman Ave Ste C, Hampton, SC 29924 Phone: 803-943-2800 Fax: 803-943-2267 | |
Robert T Mcnamara Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Ginn Altman Ave Ste C, Hampton, SC 29924 Phone: 803-943-2800 Fax: 803-943-2267 | |
Denise Wilkey Pinckney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Ginn Altman Ave Ste C, Hampton, SC 29924 Phone: 803-943-2800 Fax: 803-943-2267 | |
Corie J Holly, CPPSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Ginn Altman Ave Ste C, Hampton, SC 29924 Phone: 803-943-2800 Fax: 803-943-2267 |