Doctor Name: | MS. REBECCA MANNING LANGLEY |
NPI Number: | 1164590261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | P1002016 |
Business Practice Address: | 239 N 12th St Arkadelphia, AR - 719234711 |
Business Phone Number: | 8702302108 |
Business Fax Number: | 8702305590 |
Mailing Address: | 239 N 12th St, ARKADELPHIA |
State: | AR |
Postal Code: | 719234711 |
Phone Number: | 8702302108 |
Fax Number: | 8702305590 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 08/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P1002016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |