Shannon Long, LPC | |
4015 Belle Terre Blvd, Myrtle Beach, SC 29579-4917 | |
(843) 410-8845 | |
Not Available |
Full Name | Shannon Long |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4015 Belle Terre Blvd, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184176554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6217 (South Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | 719396 (South Carolina) | Primary |
Entity Name | Arise Counseling And Clinical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619564929 PECOS PAC ID: 2264967181 Enrollment ID: O20241130000264 |
Mailing Address | Practice Location Address |
---|---|
Shannon Long, LPC 1293 Professional Dr Ste D222, Myrtle Beach, SC 29577-5754 Ph: (843) 333-2416 | Shannon Long, LPC 4015 Belle Terre Blvd, Myrtle Beach, SC 29579-4917 Ph: (843) 410-8845 |
Heather Partridge, LPC/S, MAC, CACII Counselor Medicare: Medicare Enrolled Practice Location: 4320 Holmestown Rd, Myrtle Beach, SC 29588 Phone: 843-652-8440 | |
Tamra Mcdermott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Prather Park Dr Ste D, Myrtle Beach, SC 29588 Phone: 843-595-6004 | |
Rosa Benetatos, LPC/A Counselor Medicare: Not Enrolled in Medicare Practice Location: 2411 N Oak St Ste 403m, Myrtle Beach, SC 29577 Phone: 843-443-3172 | |
Haydee Sencion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4221 Mayfair St, Myrtle Beach, SC 29577 Phone: 843-999-0373 | |
Mrs. Savannah E Mikell, MS, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4325 Dick Pond Rd Ste E, Myrtle Beach, SC 29588 Phone: 843-900-7641 | |
Dr. Linda Cooper Lack, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Wading Bird Lane, Myrtle Beach, SC 29577 Phone: 843-448-6516 | |
Virginia Eddy, Counselor Medicare: Medicare Enrolled Practice Location: 8432 Cape Dutch Loop, Myrtle Beach, SC 29572 Phone: 704-249-0142 |