Provider Demographics
NPI:1518796366
Name:LANGLEY, JESSI (PSYD)
Entity type:Individual
Prefix:DR
First Name:JESSI
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 KENNESAW AVE NW STE 250
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7944
Mailing Address - Country:US
Mailing Address - Phone:404-862-8106
Mailing Address - Fax:
Practice Address - Street 1:800 KENNESAW AVE NW STE 250
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7944
Practice Address - Country:US
Practice Address - Phone:404-862-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health