1184237620 NPI number — BRITNI KAY LANGEVIN LPCC

Table of content: MISS SEBRINA JONES LCSW-R (NPI 1639401979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184237620 NPI number — BRITNI KAY LANGEVIN LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANGEVIN
Provider First Name:
BRITNI
Provider Middle Name:
KAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JOUBERT
Provider Other First Name:
BRITNI
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPCC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1184237620
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9859
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARGO
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58106-9859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-451-4900
Provider Business Mailing Address Fax Number:
651-925-0057

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
815 37TH AVE S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOORHEAD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56560-5524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-451-4811
Provider Business Practice Location Address Fax Number:
651-925-0057
Provider Enumeration Date:
08/25/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2435 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)