Long, Imani

Long, Imani is an sole proprietor health care provider with primary practice located at 4141 S Nogales St , West Covina CA 91792-3056. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is her primary health care specialty. Long, Imani can be contacted via phone (833) 831-8946.

Contact Information

Primary practice address
4141 S Nogales St West Covina CA 91792-3056
Phone: (833) 831-8946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Family 103TF0000X

Profile Details

NPI number 1053174201
LBN Legal business name Long, Imani
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2024
Last updated Jan 31st, 2024 - 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.

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