EBONY LANGSTON


Address: 495 Congress Ave, New Haven, CT 06519-1312
Phone: 2037814600

EBONY LANGSTON (NPI# 1447799051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447799051
Entity Type Individual
Full Name EBONY LANGSTON
Credential LPC
Practice Address 495 Congress Ave
New Haven
CT 06519-1312
Mailing Address 1 Long Wharf Dr
New Haven
CT 06511-5991
Practice Telephone 2037814600
Practice Fax Number 2037814624
Mailing Telephone 2037814600
Mailing Fax Number 2037814624
Enumeration Date 2017-02-15
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
003115 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008001325 05
CT 008022622 05
CT 004082260 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
419 Whalley Ave, New Haven, CT 065113019 2032856475 2032856561

Office Location

Street Address 495 CONGRESS AVE
City NEW HAVEN
State CT
Zip Code 06519-1312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871667188 Carmela Cortese Social Worker 495 Congress Ave, New Haven, CT 06519-1312 2006-11-20
1720690142 Myriam Milfort Counselor 495 Congress Ave, New Haven, CT 06519-1312 2020-08-18
1982243341 Breann Artes Counselor 495 Congress Ave, New Haven, CT 06519-1312 2020-01-03
1740753367 Toni-michelle Storlazzi Counselor 495 Congress Ave, New Haven, CT 06519-1312 2019-01-07
1366922312 Rhonda Watson-dejesus Counselor 495 Congress Ave, New Haven, CT 06519-1312 2018-08-20
1013447523 Mukhtar M Nalado Counselor 495 Congress Ave, New Haven, CT 06519-1312 2017-06-16
1760928519 Sharnelle Branyon Counselor 495 Congress Ave, New Haven, CT 06519-1312 2017-01-17
1588027403 Ryan Wade Psychiatry & Neurology 495 Congress Ave, New Haven, CT 06519-1312 2016-03-29
1437518404 Frederick Coburn Social Worker 495 Congress Ave, New Haven, CT 06519-1312 2016-02-18
1730589508 Linda Florio Solimine-rubino Registered Nurse 495 Congress Ave, New Haven, CT 06519-1312 2014-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336740935 Art Therapy Explorations LLC Counselor 23 Temple St, New Haven, CT 06510-2714 2020-11-02
1376174367 Nicole Anderson Counselor 189 Orange St Ste 380, New Haven, CT 06510-2014 2020-01-29
1932763935 Deborah K Rosen Counselor 357 Whitney Ave Ste 201, New Haven, CT 06511-2364 2019-04-24
1669934337 Bondage Breakers Counseling, LLC Counselor 79 Trumbull St Unit C9, New Haven, CT 06511-3708 2019-04-02
1295292290 Emily Elizabeth Samuel Counselor 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 2019-02-26
1649736067 Martina M Kardol Counselor 926 Chapel St, New Haven, CT 06510-2515 2019-02-11
1578016846 Rigoberto Morales Rios Counselor 50 Fitch St Fl 2, New Haven, CT 06515-1366 2016-08-03
1619345980 Rachel Doody Counselor 98-100 Park St, New Haven, CT 06511-5402 2015-09-03
1871909945 Marissa R Gagliardo Counselor 232 Cedar Street, South Central Rehabilitation Center, New Haven, CT 06519-1610 2014-07-09
1447680079 Francesca Maria Ferrentelli Counselor 4829 Highway Kk, New Haven, MO 63068-2157 2013-11-18
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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