Long, Janice T

Long, Janice T is an sole proprietor health care provider with primary practice located at 114 Pleasant Home Rd Ste B , Augusta GA 30907-3518. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Long, Janice T can be contacted via phone (706) 262-2002.

Contact Information

Primary practice address
114 Pleasant Home Rd Ste B Augusta GA 30907-3518
Phone: (706) 262-2002
Fax: (706) 261-5664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 308867 Georgia
Behavioral Health & Social Service Providers / Counselor 101Y00000X 308867 Georgia

Profile Details

NPI number 1598288235
LBN Legal business name Long, Janice T
Credentials MS - COUNSELING
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2017
Last updated Jul 21st, 2022 - about 2 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598288235 NPPES
Georgia Other 308867 COUNSELING

Popular Providers