Individual
MS. EDITH ELEANOR LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LMFT
Contact information
Practice address
4726 PARK RD, SUITE B, CHARLOTTE, NC 28209-3278
(704) 527-0760
(704) 527-0887
Mailing address
4726 PARK RD, SUITE B, CHARLOTTE, NC 28209-3278
(704) 527-0760
(704) 527-0887
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 0589
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135F1
BCBSNC PROVIDER ID
NC
Enumeration date
06/01/2007
Last updated
07/08/2007
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