Mental Health Therapist

Mr. Jeremy De Wayne Long, LMHC, LPC

870 Hollywood Blvd, West Melbourne, Florida, 32904-7418

About Mr. Jeremy De Wayne Long

Mr. Jeremy De Wayne Long is a therapist based in West Melbourne, Florida who is specialized in Mental Health Counselor. Active license number of Mr. Jeremy De Wayne Long is 5617-125 for Professional Counselor in Wisconsin. His current practice location is 870 Hollywood Blvd, West Melbourne. Patients can reach him at 800-438-1772 or can fax him at 262-345-5562. Mr. Jeremy De Wayne Long, LMHC, LPC, specializes in Mental Health Counselor and his NPI number (Unique professional ID assigned by NPPES) is 1831458561.

Mr. Jeremy De Wayne Long is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.

Practice Information

Mr. Jeremy De Wayne Long specialty, credentials, practice address, contact phone number and fax are as below. Patients can contact the office at the given phone number for appointment.

Provider Name Mr. Jeremy De Wayne Long
Specialization Mental Health Counselor
Credentials LMHC, LPC
Gender Male
Practice Address: 870 Hollywood Blvd,
West Melbourne, FL - 32904-7418
Fax 262-345-5562

Professional Identification Codes

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number1831458561
NPI Enumeration Date: 15 May, 2012
NPI Last Update On: 24 Aug, 2020

Medical Licenses:

Healthcare professionals can hold one or more medical licenses for different specialties in the same state or different states. Related medical licenses for Mr. Jeremy De Wayne Long are as mentioned below.

License NumberSpecializationStateStatus
5617-125Professional Counselor WisconsinPrimary
MH 11075Mental Health Counselor FloridaSecondary

Other Medical Identifiers

Other legacy medical identifiers associated with Mr. Jeremy De Wayne Long such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100057489MedicaidWisconsin

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Mr. Jeremy De Wayne Long
630 Tejon Ave Sw,
Palm Bay, FL - 32908-7437
Phone: 321-482-9492

Book an Appointment with Mr. Jeremy De Wayne Long

To schedule an appointment, contact Mr. Jeremy De Wayne Long at 870 Hollywood Blvd, West Melbourne, Florida or call on below stated phone number.

Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Mr. Jeremy De Wayne Long:

Jeremy De Wayne Long is a therapist specializing in Professional Counselor. He is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.

Yes, Jeremy De Wayne Long is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.
*Availability may change. Please contact the office directly to ask about appointments.

Jeremy De Wayne Long practices at 870 Hollywood Blvd, West Melbourne, Florida, 32904-7418.

To schedule an appointment with Jeremy De Wayne Long, please contact the office at 800-438-1772.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.