Provider Demographics
NPI:1548479363
Name:LONGANO, BERNARD JOSEPH (LMFT, LCSW)
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:JOSEPH
Last Name:LONGANO
Suffix:
Gender:M
Credentials:LMFT, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 BERING DR
Mailing Address - Street 2:SUITE 450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3746
Mailing Address - Country:US
Mailing Address - Phone:713-784-4475
Mailing Address - Fax:
Practice Address - Street 1:2000 BERING DR
Practice Address - Street 2:SUITE 450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3746
Practice Address - Country:US
Practice Address - Phone:713-784-4475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX243061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical