Provider Demographics
NPI:1942416706
Name:LANGMAN, BENJAMIN KEIL (LPC CAADC CCS)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:KEIL
Last Name:LANGMAN
Suffix:
Gender:M
Credentials:LPC CAADC CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 W OAK AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2737
Mailing Address - Country:US
Mailing Address - Phone:850-215-6007
Mailing Address - Fax:850-215-6003
Practice Address - Street 1:421 W OAK AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2737
Practice Address - Country:US
Practice Address - Phone:850-215-6007
Practice Address - Fax:850-215-6003
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15273-132101YA0400X
ZZ201261101YA0400X
MIC00806101YA0400X
MI6401009346101YM0800X, 101YP2500X
FLMH19364101YP2500X
MI3203052217146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic