Long, George Clinton

Long, George Clinton is an sole proprietor health care provider with primary practice located at 5664 Sw 60Th Ave Bldg 2 , Ocala FL 34474-5694. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Long, George Clinton can be contacted via phone (800) 539-4228.

Contact Information

Primary practice address
5664 Sw 60Th Ave Bldg 2 Ocala FL 34474-5694
Phone: (800) 539-4228
Fax: (352) 291-5588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 4520 Florida

Profile Details

NPI number 1518923655
LBN Legal business name Long, George Clinton
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Jan 10th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518923655 NPPES
Florida Other Z053N BCBS PROVIDER NUMBER
Florida MEDICAID 761035100 BCBS PROVIDER NUMBER

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