Provider Demographics
NPI:1760489801
Name:LANGFORD, CATHY HESS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:HESS
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 QUINLAND LAKE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-7518
Mailing Address - Country:US
Mailing Address - Phone:931-651-1641
Mailing Address - Fax:931-651-1694
Practice Address - Street 1:2370 QUINLAND LAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-7518
Practice Address - Country:US
Practice Address - Phone:931-651-1641
Practice Address - Fax:931-651-1694
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000004155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3924671Medicare ID - Type UnspecifiedPROVIDER NUMBER