Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ajasha Maxine Long, PHD

Individual provider Counseling Psychologist · NPI 1609495282

Ajasha Maxine Long, PHD is a Counseling Psychologist in Jacksonville, Florida. Works from 2 locations. Licensed in Florida and Ohio.

Licensed in
FL, OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

14540 Old Saint Augustine Rd Ste 2591
Jacksonville, FL 32258-7420
Phone: (904) 376-3800
Fax: (904) 390-7405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Metrohealth Dr, Cleveland, OH 44109-1900 — (216) 778-7800

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY12271 (FL)
Counseling Psychologist Taxonomy 103TC1900X · Licence P.08309 (OH)

Record details

NPI number1609495282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address2500 Metrohealth Dr, Cleveland, OH 44109-1900

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