Langston, Sidney Whitley

Langston, Sidney Whitley is an individual health care provider with primary practice located at 116 S. Providence St. , Waxhaw NC 28173-1044. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Langston, Sidney Whitley can be contacted via phone (704) 843-4818.

Contact Information

Primary practice address
116 S. Providence St. Waxhaw NC 28173-1044
Fax: (704) 843-5111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 076547 North Carolina

Profile Details

NPI number 1104046416
LBN Legal business name Langston, Sidney Whitley
Credentials PH.D., D.MIN., R.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2007
Last updated Jul 8th, 2007 - about 18 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 1104046416 NPPES
North Carolina Other 50913 INSURANCE PROVIDER NUMBER

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