Provider Demographics
NPI:1750134805
Name:LANGSTON, ASHLYNN
Entity type:Individual
Prefix:
First Name:ASHLYNN
Middle Name:
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHLYNN
Other - Middle Name:
Other - Last Name:WYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7520 BROMPTON ST APT 721
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2255
Mailing Address - Country:US
Mailing Address - Phone:469-734-7100
Mailing Address - Fax:
Practice Address - Street 1:7520 BROMPTON ST APT 721
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2255
Practice Address - Country:US
Practice Address - Phone:469-734-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85385101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional