Provider Demographics
NPI:1740758150
Name:LANGDOC, HOLLIS (MS LPC)
Entity type:Individual
Prefix:
First Name:HOLLIS
Middle Name:
Last Name:LANGDOC
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6856 CHANTILLY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2718
Mailing Address - Country:US
Mailing Address - Phone:214-603-2180
Mailing Address - Fax:
Practice Address - Street 1:13727 NOEL RD STE 256
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-1336
Practice Address - Country:US
Practice Address - Phone:214-603-2180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health