person
Dr. Sidney Whitley Langston, PHD,DMIN,RN
Mental Health Counselor in Waxhaw, North Carolina
NPI 1104046416

Sidney Whitley Langston is a Mental Health Counselor based in Waxhaw, NC and is specialized in Mental Health. Sidney Whitley Langston practices in Waxhaw, NC and has the professional credentials of PHD,DMIN,RN. The NPI Number for Sidney Whitley Langston is 1104046416 and holds a License No. 076547 (North Carolina).

The current practice location address for Sidney Whitley Langston is 116 S. Providence St., Waxhaw, NC and can be reached out via phone at 704-843-4818 and via fax at 704-843-5111.

Location: 116 S. Providence St., Waxhaw, NC, 28173-1044
person
Provider Profile Details
NPI Number
1104046416
Provider Name
Sidney Whitley Langston
Credential
PHD,DMIN,RN
Provider Entity Type
Individual
Gender
Female
Address
116 S. Providence St., Waxhaw, NC, 28173-1044
Phone Number
704-843-4818
Fax Number
704-843-5111
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50913 01 NC INSURANCE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
116 S. Providence St.
City
State
Zip
28173-1044
Phone Number
704-843-4818
Fax Number
704-843-5111
person
Provider Business Mailing Address Details
Address
116 S. Providence St.
City
State
Zip
28173-1044
Phone Number
704-843-4818
Fax Number
704-843-5111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
076547 (North Carolina)
Definition
Definition to come...
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