Active NPIIndividual provider

Kimberly A Long, LCPC-C, CADC

Counselor, Mental Health in Houlton, Maine

NPI Number1205504438
Practice location
11 Mill St, Houlton, ME 04730-1877
Fax
207-537-3873
Last updated
November 21, 2023

Kimberly A Long is a Counselor, Mental Health based in Houlton, ME. Kimberly A Long practices in Houlton, ME and has the professional credentials of LCPC-C, CADC. The NPI Number for Kimberly A Long is 1205504438 and holds a License No. CAC7611 (ME). The current practice location address for Kimberly A Long is 11 Mill St, Houlton, ME 04730-1877 and can be reached out via phone at 207-532-6523 and via fax at 207-537-3873.

Provider Profile Details

NPI Number
1205504438
Provider Name
Kimberly A Long
Credential
LCPC-C, CADC
Provider Entity Type
Individual
Gender
Female
Address
11 Mill St, Houlton, ME 04730-1877
Phone Number
207-532-6523
Fax Number
207-537-3873
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2021
Last Update Date
November 21, 2023
Certification Date
November 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Mill St
Houlton, ME 04730-1877
State
Maine
Zip
04730-1877
Phone Number
207-532-6523
Fax Number
207-537-3873
Houlton, ME 04730Get directions →

Provider Business Mailing Address Details

Address
40 Market Sq
Houlton, ME 04730-1742
City
Houlton
State
ME
Zip
04730-1742
Phone Number
207-215-6213
Fax Number
207-532-5518

License Information

License Number (1)
CAC7611
License State (1)
ME
Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
XL6561
License State (2)
ME
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly A Long, LCPC-C, CADC?

The NPI number of Kimberly A Long, LCPC-C, CADC is 1205504438. It was assigned on September 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Long, LCPC-C, CADC?

Kimberly A Long, LCPC-C, CADC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ME under license number CAC7611.

Where does Kimberly A Long, LCPC-C, CADC practice?

The practice location is 11 Mill St, Houlton, ME 04730-1877. The office can be reached at 207-532-6523 (phone) or 207-537-3873 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205504438 directly on the NPPES registry website.

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