Langston, Ebony

Langston, Ebony is an individual health care provider with primary practice located at 495 Congress Ave , New Haven CT 06519-1312. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Langston, Ebony can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
495 Congress Ave New Haven CT 06519-1312
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 003115 Connecticut

Profile Details

NPI number 1447799051
LBN Legal business name Langston, Ebony
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2017
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447799051 NPPES
Connecticut MEDICAID 004082260
Connecticut MEDICAID 008001325
Connecticut MEDICAID 008022622

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