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

Mack C Long III

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073483947

Mack C Long III is a Mental Health Counselor in Mineola, Texas. Qualified in 1990, 36 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
36
Licensed in
TX
In the registry since
2025
Specialties on file
3

Practice location Address checks out

703 W Patten St
Mineola, TX 75773-1541
Phone: (903) 535-7344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 91528 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15950 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 91528 (TX)

Record details

NPI number1073483947
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address334 County Road 3909, Hawkins, TX 75765-4000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Mineola