OrganizationLongmire Counseling Services, Llc(<Unavail>)Social WorkerBehavioral Health & Social Service ProvidersPractice Address1331 Union Ave Ste 1012, Memphis, TN 38104-7509(901) 244-2233(901) 292-6928PECOS EnrollmentBased on the most recent information from CMS, provider Longmire Counseling Services, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740893130Provider TypeOrganizationFull NameLongmire Counseling Services, LlcOther Name<Unavail>SubpartNoEnumeration Date8/26/2020Last Updated9/9/2020Contact InformationPractice LocationPractice Address1331 Union Ave Ste 1012, Memphis, TN 38104-7509Phone(901) 244-2233FaxUnlisted FaxMailing LocationMailing Address9160 Highway 64 Ste 12-219, Lakeland, TN 38002-4766Phone(901) 292-6928FaxUnlisted FaxAuthorized OfficialNameLongmire, Nakeesha (Member)Phone(901) 292-6928Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDQ055545DescriptionMedicaidIssuerUnlistedTennessee