Individual ProviderLatranette LongCounselorBehavioral Health & Social Service ProvidersPractice Address1210 Millennium Pkwy, Brandon, FL 33511-4896(813) 856-9703PECOS EnrollmentBased on the most recent information from CMS, provider Latranette Long 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 yesterday at 11:06 AM.Profile DetailsProvider ID1801148184Provider TypeIndividualFull NameLong, LatranetteCredentialLMHC-QS, LPCGenderFemaleSole ProprietorYesEnumeration Date10/10/2012Last Updated2/27/2023Contact InformationPractice LocationPractice Address1210 Millennium Pkwy, Brandon, FL 33511-4896Phone(813) 856-9703FaxUnlisted FaxMailing LocationMailing Address10121 E Adamo Dr Unit 89472, Tampa, FL 33689-9026Phone(813) 856-9703FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer