Long, Tonia L

Long, Tonia L is an individual health care provider with primary practice located at 1100 Halle Park Circle Ste 101, Collierville TN 38017. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Long, Tonia L can be contacted via phone (901) 651-2879.

Contact Information

Primary practice address
1100 Halle Park Circle Ste 101 Collierville TN 38017
Phone: (901) 651-2879
Fax: (901) 562-0379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X P0000001774 Tennessee
Behavioral Health & Social Service Providers / Counseling 103TC1900X P0000001774 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000001774 Tennessee
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X P0000001774 Tennessee

Profile Details

NPI number 1396745329
LBN Legal business name Long, Tonia L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Mar 30th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396745329 NPPES
Tennessee Other 2047479 CIGNA
Tennessee Other 4004785 CIGNA

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