Provider Demographics
NPI:1306202247
Name:LINDA LANGSTON, LPC & ASSOCIATES INC.
Entity Type:Organization
Organization Name:LINDA LANGSTON, LPC & ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-228-4699
Mailing Address - Street 1:100 HUDSON RD
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4589
Mailing Address - Country:US
Mailing Address - Phone:770-228-4699
Mailing Address - Fax:
Practice Address - Street 1:216 BEGONIA CT
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-5879
Practice Address - Country:US
Practice Address - Phone:770-328-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007490101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty