Provider Demographics
NPI:1700943198
Name:LANGFORD, EDITH (PHD, LMHC, CASAC)
Entity Type:Individual
Prefix:DR
First Name:EDITH
Middle Name:
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:PHD, LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 CLINTON AVE
Mailing Address - Street 2:SUITE 12 D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1176
Mailing Address - Country:US
Mailing Address - Phone:718-208-0526
Mailing Address - Fax:
Practice Address - Street 1:365 CLINTON AVE
Practice Address - Street 2:SUITE 12 D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1176
Practice Address - Country:US
Practice Address - Phone:718-208-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2224101YA0400X
NY001270-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health