Provider Demographics
NPI:1720145493
Name:ELIZABETH R. LANGSTON, INC.
Entity Type:Organization
Organization Name:ELIZABETH R. LANGSTON, INC.
Other - Org Name:KERRVILLE GUIDANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:RICKS
Authorized Official - Last Name:LANGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:830-257-6989
Mailing Address - Street 1:327 EARL GARRETT ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4500
Mailing Address - Country:US
Mailing Address - Phone:830-257-6989
Mailing Address - Fax:830-792-6220
Practice Address - Street 1:327 EARL GARRETT ST
Practice Address - Street 2:SUITE 101
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4500
Practice Address - Country:US
Practice Address - Phone:830-257-6989
Practice Address - Fax:830-792-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC02562101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty