Provider Demographics
NPI:1225593650
Name:LANGHAM, ODDESTY K (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ODDESTY
Middle Name:K
Last Name:LANGHAM
Suffix:
Gender:F
Credentials: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:PO BOX 383272
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35238-3272
Mailing Address - Country:US
Mailing Address - Phone:205-528-8162
Mailing Address - Fax:
Practice Address - Street 1:1025 23RD ST S STE 280
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2463
Practice Address - Country:US
Practice Address - Phone:205-528-8162
Practice Address - Fax:205-270-5098
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ALC2958A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health