Healthcare Provider Details

I. General information

NPI: 1982549598
Provider Name (Legal Business Name): TYLER LANGFORD LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 N MONTEZUMA ST STE A
PRESCOTT AZ
86301-2066
US

IV. Provider business mailing address

724 N MONTEZUMA ST STE A
PRESCOTT AZ
86301-2066
US

V. Phone/Fax

Practice location:
  • Phone: 928-848-3191
  • Fax:
Mailing address:
  • Phone: 928-848-3191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number24774
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: