Organization Name: | MARY B. LANGFORD, BSN, MA, LPC, LLC |
NPI Number: | 1982797965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY BLUM LANGFORD (COUNSELOR) |
Mailing Address: | 200 Flying W Drive Carencro |
State: | LA US |
Postal Code: | 70520 |
Phone Number: | 3378867879 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |