Provider Demographics
NPI:1598020224
Name:LANG, SUSAN E (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:E
Last Name:LANG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 DOUGLAS AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3309
Mailing Address - Country:US
Mailing Address - Phone:515-233-6110
Mailing Address - Fax:
Practice Address - Street 1:408 DOUGLAS AVE STE C
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6260
Practice Address - Country:US
Practice Address - Phone:515-233-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health