Individual provider · Type 1 NPI

Shannon Long, LPC

Mental Health Counselor · Myrtle Beach, SC

NPI number 1184176554 Active

Practice location

4015 Belle Terre Blvd
Myrtle Beach, SC 29579-4917

Call (843) 410-8845 Map

Mailing address

1293 Professional Dr Ste D222
Myrtle Beach, SC 29577-5754

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6217 (SC)
Mental Health Counselor Primary 101YM0800X719396 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1184176554

Shannon Long, LPC's National Provider Identifier is 1184176554, issued on Nov 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 8, 2021.