Organization
BEYOND THE LABEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQULEYN LANGSTON (OWNER)
(586) 913-5024
Entity
Organization
Contact information
Practice address
495 LAKES EDGE DR, OXFORD, MI 48371-5226
(586) 913-5024
Mailing address
495 LAKES EDGE DR, OXFORD, MI 48371-5226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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