| S Ann Long Trauma Therapist Collective Plc | |
|
12 Green Mountain Dr Apt 7 Iowa City IA 52245-3814 | |
| (319) 321-4564 | |
| Not Available |
| Full Name | S Ann Long Trauma Therapist Collective Plc |
|---|---|
| Speciality | Social Worker |
| Location | 12 Green Mountain Dr Apt 7, Iowa City, Iowa |
| Authorized Official Name and Position | S Ann Long (THERAPY SOLE MBR) |
| Authorized Official Contact | 3193214564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Ann Long Trauma Therapist Collective Plc 12 Green Mountain Dr Apt 7 Iowa City IA 52245-3814 Ph: (319) 321-4564 | S Ann Long Trauma Therapist Collective Plc 12 Green Mountain Dr Apt 7 Iowa City IA 52245-3814 Ph: (319) 321-4564 |
| NPI Number | 1225807886 |
|---|---|
| Provider Enumeration Date | 12/25/2023 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 9537697644 |
|---|---|
| Medicare Enrollment ID | O20250116001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225807886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sheila Ann Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861165730 PECOS PAC ID: 1355879461 Enrollment ID: I20250116001249 |
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