| Mary Longley, | |
|
986 S Main St, Cheshire, CT 06410-3420 | |
| (203) 250-1524 | |
| Not Available |
| Full Name | Mary Longley |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 986 S Main St, Cheshire, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205292323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 108470717 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Psychiatric Services Llc | 2961730239 | 5 |
| Entity Name | Premier Psychiatric Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215594395 PECOS PAC ID: 2961730239 Enrollment ID: O20190823002340 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Longley, 986 S Main St, Cheshire, CT 06410-3420 Ph: (203) 250-1524 | Mary Longley, 986 S Main St, Cheshire, CT 06410-3420 Ph: (203) 250-1524 |
Heather Alix, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hinman St, Cheshire, CT 06410 Phone: 203-250-0305 |
Mrs. Kelly Ann Rodriguez, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 420 Highland Ave Ste B1, Cheshire, CT 06410 Phone: 203-931-5566 Fax: 888-531-8142 |
Anne Sansone, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 W Johnson Ave Ste 310, Cheshire, CT 06410 Phone: 860-358-0188 |
Jessica E Tresselt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 Highland Ave, Cheshire, CT 06410 Phone: 203-599-1492 |
Patricia Parlante, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Highland Ave, Cheshire, CT 06410 Phone: 203-599-1492 |
Hunter Paul Mayhew, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 677 S Main St Ste 5a, Cheshire, CT 06410 Phone: 860-506-6016 |
Susan Jaramillo, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Highland Ave, Cheshire, CT 06410 Phone: 203-272-6804 |