Provider Demographics
NPI:1518111681
Name:LANGLEY, SARAH RENEE (LCPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:RENEE
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:LCPC
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 1576
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21922-1576
Mailing Address - Country:US
Mailing Address - Phone:443-822-2446
Mailing Address - Fax:443-350-9769
Practice Address - Street 1:203 BUTTONWOODS RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6571
Practice Address - Country:US
Practice Address - Phone:443-822-2446
Practice Address - Fax:443-350-9769
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000440101YP2500X
MDLC2746101YP2500X
PAPC004912101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional