| Doctor Name: | CARLA LANG |
| NPI Number: | 1003894254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.DIV., M.A. |
| License Number: | NCFBPPC27 |
| Business Practice Address: | 612 Pasteur Dr Suite 207 Greensboro, NC - 274031149 |
| Business Phone Number: | 3363160716 |
| Business Fax Number: | 3365479061 |
| Mailing Address: | 612 Pasteur Dr, Suite 612 GREENSBORO |
| State: | NC |
| Postal Code: | 274031149 |
| Phone Number: | 3363160716 |
| Fax Number: | 3365479061 |
| NPI Enumeration Date: | 01/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | NCFBPPC27 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |