Organization · Type 2 NPI

Long Integrated Psychiatric Services LLC

Psychiatric/Mental Health Nurse Practitioner · Middle River, MD

NPI number 1790366193 Active

Practice location

11560 Crossroads Cir
Middle River, MD 21220-2885

Call (410) 508-0722 Map

Mailing address

11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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NPI record

NPI: 1790366193
Entity type: Organization (Type 2)
Issued: Apr 16, 2021
Last updated: Mar 21, 2023
Status: Active

Other names

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Long Integrated Psychiatric Services · former legal business name
Long Integrated Psychiatric Services · former legal business name

Authorized official

Angela Long, CRNP
Owner
(410) 508-0722

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790366193

Long Integrated Psychiatric Services LLC's National Provider Identifier is 1790366193, issued on Apr 16, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Middle River, MD. The record was last updated on Mar 21, 2023.