Long Leaf Professional Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003928 Issued in NC

Legal business name

LONG LEAF PROFESSIONAL COUNSELING PLLC

Practice address

2550 Fayetteville Rd
Lumberton, NC 28358-3114

Phone

(910) 671-4042

Fax

(910) 671-4044

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John Lewis Bryan II, ACSW, LCSW

Title

Organizer and Member

Phone

(910) 671-4042

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1912146028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583114",
            "telephone_number": "910-671-4042",
            "fax_number": "910-671-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583114",
            "telephone_number": "910-671-4042",
            "fax_number": "910-671-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LEAF PROFESSIONAL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "ORGANIZER AND MEMBER",
        "authorized_official_telephone_number": "910-671-4042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003564",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursulla Kerns Locklear, M.ED., CCC-SLP
• Victoria Locklear, PA-C
• Zonya Locklear, DDS
• Andrew J Lodge, M.D.
• Durga Lohana, MD
• Cody Alton Long
• Erguecie Lormantus
• Judith L Losh, CCC SLP
• Lower Cape Fear Hospice, Incorporated
• Christie Hagan Lowery, P.A.

• Clinical Social Worker in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.