| Mrs Kimberly Ann Long, LMHC | |
|
2944 Penn Ave, Marianna, FL 32448-2738 | |
| (526) 550-0850 | |
| Not Available |
| Full Name | Mrs Kimberly Ann Long |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 2944 Penn Ave, Marianna, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447841200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH18792 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chrysalis Center, Inc. | 8325186646 | 27 |
| Entity Name | Chrysalis Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Ann Long, LMHC 760 Spring Meadows Rd, Quincy, FL 32351-7655 Ph: (850) 557-2681 | Mrs Kimberly Ann Long, LMHC 2944 Penn Ave, Marianna, FL 32448-2738 Ph: (526) 550-0850 |
Miss Sarah Sun, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5173 Woodgate Way, Marianna, FL 32446 Phone: 850-526-0011 | |
Mr. Charles Edward Donald Jr., RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 2667 Highway 73, Marianna, FL 32448 Phone: 850-209-2727 | |
Theresa Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4094 Lafayette St, Marianna, FL 32446 Phone: 850-522-4485 Fax: 850-522-4484 | |
Priscilla Robinette I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2944 Penn Ave Ste L, Marianna, FL 32448 Phone: 850-526-5500 | |
Mrs. Jacques N Worlds, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2092 Athens Ct, Marianna, FL 32448 Phone: 850-482-1177 | |
Tri'na Elisa Blackshear, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4254 Elm St, Marianna, FL 32448 Phone: 850-272-8099 | |
Leslie A. Hall, IMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 4758 Sheffield Dr, Marianna, FL 32446 Phone: 850-573-1247 |