person
Marshelle Nix Long
Mental Health Counselor in Baton Rouge, Louisiana
NPI 1235812223

Marshelle Nix Long is a Mental Health Counselor based in Douglasville, LA and is specialized in Mental Health. Marshelle Nix Long practices in Baton Rouge, LA. The NPI Number for Marshelle Nix Long is 1235812223 and holds a License No. 2203784617 (Louisiana).

The current practice location address for Marshelle Nix Long is 4336 North Blvd Ste 204, Baton Rouge, LA and can be reached out via phone at 225-960-7419 and via fax at 225-960-7421.

Location: 4336 North Blvd Ste 204, Baton Rouge, LA, 30135-8948
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Provider Profile Details
NPI Number
1235812223
Provider Name
Marshelle Nix Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
4336 North Blvd Ste 204, Baton Rouge, LA, 30135-8948
Phone Number
225-960-7419
Fax Number
225-960-7421
Provider Enumeration Date
08/08/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2203784617 05 LA
221S00000X 05 LA
251S00000X 05 LA
institution
Provider Business Practice Location Address Details
Address
4336 North Blvd Ste 204
City
State
Zip
70806-3920
Phone Number
225-960-7419
Fax Number
225-960-7421
person
Provider Business Mailing Address Details
Address
4336 North Blvd Ste 204
City
State
Zip
70806-3920
Phone Number
225-960-7419
Fax Number
225-960-7421
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2203784617 (Louisiana)
Definition
Definition to come...
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