Provider Demographics
NPI:1033608369
Name:LANGHAMMER, CURT (LCAC)
Entity Type:Individual
Prefix:
First Name:CURT
Middle Name:
Last Name:LANGHAMMER
Suffix:
Gender:M
Credentials:LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10846 JESSIE CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-7720
Mailing Address - Country:US
Mailing Address - Phone:317-205-5853
Mailing Address - Fax:
Practice Address - Street 1:2855 N KEYSTONE AVE STE 156
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-2791
Practice Address - Country:US
Practice Address - Phone:317-205-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87001205A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)