Long, Stephanie Rae

Long, Stephanie Rae is an individual health care provider with primary practice located at 5664 Sw 60Th Ave , Ocala FL 34474-5677. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Long, Stephanie Rae can be contacted via phone (352) 291-5485.

Contact Information

Primary practice address
5664 Sw 60Th Ave Ocala FL 34474-5677
Phone: (352) 291-5485
Fax: (352) 291-9536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2856 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8759 Florida

Profile Details

NPI number 1477585016
LBN Legal business name Long, Stephanie Rae
Credentials LMHC, CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Oct 8th, 2012 - about 14 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 1477585016 NPPES
Florida MEDICAID 767104100

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