Provider Demographics
NPI:1447082797
Name:RACHEL A. LONG COUNSELING, LLC
Entity type:Organization
Organization Name:RACHEL A. LONG COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:CSIKOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:814-254-5663
Mailing Address - Street 1:260 AVALON RD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-7502
Mailing Address - Country:US
Mailing Address - Phone:814-943-6937
Mailing Address - Fax:814-381-0117
Practice Address - Street 1:1216 11TH AVE STE 228
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-3413
Practice Address - Country:US
Practice Address - Phone:814-515-9423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty