Long, Wanda Kaye

Long, Wanda Kaye is an sole proprietor health care provider with primary practice located at 1811 W 2Nd St Ste 450 , Grand Island NE 68803-5473. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Long, Wanda Kaye can be contacted via phone (308) 382-8085.

Contact Information

Primary practice address
1811 W 2Nd St Ste 450 Grand Island NE 68803-5473
Phone: (308) 382-8085
Fax: (308) 382-8085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 787 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 511 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 320,787 Nebraska

Profile Details

NPI number 1720134844
LBN Legal business name Long, Wanda Kaye
Credentials LCSW, LIMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Feb 27th, 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 1720134844 NPPES
Nebraska MEDICAID 47072149413
Nebraska Other 82143
Nebraska MEDICAID 100260989-00
Nebraska Other 8582

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