Provider Demographics
NPI:1588236160
Name:LANGSTON, TARA CHEREE (LPC)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:CHEREE
Last Name:LANGSTON
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 1:4206 N HILL DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4033
Mailing Address - Country:US
Mailing Address - Phone:214-212-5133
Mailing Address - Fax:
Practice Address - Street 1:6860 DALLAS PKWY STE 269
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4232
Practice Address - Country:US
Practice Address - Phone:214-212-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82297101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional