Longwood Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006378 Issued in PA

Legal business name

LONGWOOD THERAPY LLC

Practice address

2006 Annand Drive
Unit 20
Wilmington, DE 19808

Phone

(302) 438-0106

Fax

(302) 635-7999

NPI assigned

Jul 4, 2012

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Gehrke, LPC

Title

President

Phone

(302) 438-0106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1811252943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 STEEPLECHASE CIR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081977",
            "telephone_number": "302-438-0106",
            "fax_number": "302-635-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 ANNAND DRIVE",
            "address_2": "UNIT 20",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-438-0106",
            "fax_number": "302-635-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-04",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "GEHRKE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-438-0106",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa R Long, O.D.
• April Long
• Suzie H Long, C.R.N.P.
• Vincent Longo, D.M.D.
• Audrey Eve Longson, DO
• Kevin Robert Loomis, P.H.D.
• Ronnie Sue Loomis, L.C.S.W.
• Liesl Rhenata Perry Looney, AUD, CCC-A
• David Loose, LPN
• Joanne Elizabeth Lopes, MD

• Professional Counselor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Professional Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.