Provider Demographics
NPI:1689845414
Name:LONGEST, CARRIE A (LMHC)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:A
Last Name:LONGEST
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:HOOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:12300 S SHORE BLVD STE 222
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6509
Mailing Address - Country:US
Mailing Address - Phone:561-473-4219
Mailing Address - Fax:
Practice Address - Street 1:12300 S SHORE BLVD STE 222
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6509
Practice Address - Country:US
Practice Address - Phone:561-473-4219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health