Pugh, Charles Langston
Pugh, Charles Langston is an individual health care provider with primary practice located at 900 8Th St Suite 716, Wichita Falls TX 76301-6801. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Pugh, Charles Langston can be contacted via phone (940) 767-4303.Contact Information
Primary practice address
900 8Th St Suite 716
Wichita Falls TX 76301-6801
Phone: (940) 767-4303
Fax: (940) 767-4313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1236 | Texas |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 9278 | Texas |
Profile Details
NPI number | 1598737868 |
---|---|
LBN Legal business name | Pugh, Charles Langston |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598737868 | NPPES |
Texas | MEDICAID | SW00S51GO |
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