Provider Demographics
NPI:1013178409
Name:VERLANGIERI, REGINA MOIRA (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:MOIRA
Last Name:VERLANGIERI
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 HIGHWAY 6 W
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-9074
Mailing Address - Country:US
Mailing Address - Phone:662-801-0625
Mailing Address - Fax:
Practice Address - Street 1:401 JACKSON AVE E
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-3809
Practice Address - Country:US
Practice Address - Phone:662-236-5773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1099101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional