DR. SIDNEY WHITLEY LANGSTON (NPI# 1104046416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104046416 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY WHITLEY LANGSTON |
| Credential | PH.D., D.MIN., R.N. |
| Practice Address |
116 S. Providence St. Waxhaw NC 28173-1044 |
| Mailing Address |
Po Box 327 116 S. Providence St. Waxhaw NC 28173-1044 |
| Practice Telephone | 7048434818 |
| Practice Fax Number | 7048435111 |
| Mailing Telephone | 7048434818 |
| Mailing Fax Number | 7048435111 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
076547 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | INSURANCE PROVIDER NUMBER | 50913 | 01 |
| Street Address |
116 S. PROVIDENCE ST. |
| City | WAXHAW |
| State | NC |
| Zip Code | 28173-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487991303 | Terri Langston Robinson | Counselor | 116 S. Providence St., Waxhaw, NC 28173 | 2013-01-11 |
| 1194912568 | El Rophe Center, Inc | Clinic/Center | 116 S. Providence St., Waxhaw, NC 28173 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733175 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1615 Providence Road South, Marvin, NC 28173 | 2020-06-04 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1336631514 | Suganya Nelatoor,d.d.s.,p.l.l.c. | Clinic/Center | 102 E Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2018-06-04 |
| 1184120750 | Restore Healthcare Medical Group | Counselor | 500 Waxhaw Professional Park Drive, Ste 105 F, Waxhaw, NC 28173 | 2018-04-03 |
| 1730690827 | Concrete Roses Consulting | Community/Behavioral Health | 5960 Fairview Road, 323, Charlotte, NC 28173 | 2017-10-17 |
| 1861849523 | Kayla Selena Caldwell | Social Worker | 3908 Rev. H. Morrison Rd., Waxhaw, NC 28173 | 2016-05-23 |
| 1588023782 | Teri Hipp | Counselor | 101-e Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2016-02-16 |
| 1710355508 | Caresmatic Phase 1,inc. | Assisted Living Facility | 520 Pembroke Ln., Waxhaw, NC 28173 | 2015-09-10 |
| 1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
| 1467892109 | Samantha Weidele Waldman | Counselor | 9929 Rea Rd Ste 201, Waxhaw, NC 28173 | 2013-06-26 |
| Find all providers in zip 28173 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650948 | Lindsey Walburn | Counselor | 7009 Steele View Cir, Waxhaw, NC 28173-0185 | 2020-05-15 |
| 1578183513 | Kaye Williams Cole | Counselor | 10005 Strike The Gold Ln, Waxhaw, NC 28173-8084 | 2020-04-20 |
| 1336529064 | Nanci Erkert | Counselor | 7405 Jaars Rd, Waxhaw, NC 28173-7004 | 2015-06-08 |
| 1982002127 | Karen Terese Kewak | Counselor | 708 Copper Tree Ln, Waxhaw, NC 28173-9967 | 2014-12-19 |
| 1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
| 1710251756 | Felicia H Friesen | Counselor | 4712 Linda Kay Dr, Waxhaw, NC 28173-8721 | 2012-03-07 |
| 1568787000 | Katherine Melissa Blevins | Counselor | 2313 Barrington Ridge Dr, Waxhaw, NC 28173-7018 | 2010-03-27 |
| 1861678377 | Aspasia Ralli-koukoutsis | Counselor | 1816 Therrell Farms Rd, Waxhaw, NC 28173-7373 | 2008-01-14 |
| 1174654594 | Charles Hampton Hinkle | Counselor | 116 South Providence Street, Waxhaw, NC 28173 | 2007-03-08 |
| 1598362188 | Gaines Therapy Pllc | Counselor | 104 Waxhaw Professional Park Dr Ste D, Waxhaw, NC 28173-5020 | 2020-10-06 |
| Find all providers in WAXHAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.