Dede Long Med, LPC, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17725 Issued in TX

Legal business name

DEDE LONG MED, LPC, PC

Practice address

2545 74TH St
Lubbock, TX 79423-1405

Phone

(806) 535-1952

NPI assigned

Nov 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dede Stuntz Long, MED, LPC

Title

President

Phone

(806) 535-1952

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1215489455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793630427",
            "telephone_number": "806-535-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 74TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231405",
            "telephone_number": "806-535-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDE LONG MED, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DEDE",
        "authorized_official_middle_name": "STUNTZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-535-1952",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Anne Deberry
• Leah Beth Deboard, LPC
• Reanne Elizabeth Debose
• Rachel Amanda Decamp, PHARM. D
• Sandra Paulette Decker, FNP
• Emily A Deeb, M.D.
• Sammy Anthony Deeb, M.D.
• Sydney Defeo
• Erin C Dehoyos
• Jose A Del Giudice, MD

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.