Provider Demographics
NPI:1457471047
Name:LANGLEY, NANCY D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:D
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13145 COUNTY ROAD 462
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MO
Mailing Address - Zip Code:63841-8356
Mailing Address - Country:US
Mailing Address - Phone:573-624-2476
Mailing Address - Fax:
Practice Address - Street 1:212 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-2144
Practice Address - Country:US
Practice Address - Phone:573-624-9383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004008730101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional