Active NPIIndividual providerSole proprietor

Alexis R Longo, LAC

Counselor, Mental Health in Montclair, New Jersey

NPI Number1689399107
Practice location
70 Park St Ste 104, Montclair, NJ 07042-2960
Fax
—
Last updated
October 6, 2022

Alexis R. Longo is a Counselor, Mental Health based in Montclair, NJ. Alexis R. Longo practices in Montclair, NJ and has the professional credentials of LAC. The NPI Number for Alexis R. Longo is 1689399107. The current practice location address for Alexis R. Longo is 70 Park St Ste 104, Montclair, NJ 07042-2960 and can be reached out via phone at 862-234-5029.

Provider Profile Details

NPI Number
1689399107
Provider Name
Alexis R. Longo
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
70 Park St Ste 104, Montclair, NJ 07042-2960
Phone Number
862-234-5029
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
Ali Longo (Other Name)
Provider Enumeration Date
October 6, 2022
Last Update Date
October 6, 2022
Certification Date
October 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Park St Ste 104
Montclair, NJ 07042-2960
Zip
07042-2960
Phone Number
862-234-5029
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
70 Park St Ste 104
Montclair, NJ 07042-2960
City
Montclair
State
NJ
Zip
07042-2960

License Information

Taxonomy
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 Alexis R Longo, LAC?

The NPI number of Alexis R Longo, LAC is 1689399107. It was assigned on October 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Alexis R Longo, LAC?

Alexis R Longo, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Alexis R Longo, LAC practice?

The practice location is 70 Park St Ste 104, Montclair, NJ 07042-2960. The office can be reached at 862-234-5029 (phone).

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 1689399107 directly on the NPPES registry website.

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