Healthcare Provider Details

I. General information

NPI: 1346675105
Provider Name (Legal Business Name): HILARY NADINE LANGE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. NADINE TOBY LANG

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 COTTAGE ST
DANIELSON CT
06239-3014
US

IV. Provider business mailing address

41 QUINEBAUG DR
DANIELSON CT
06239-4123
US

V. Phone/Fax

Practice location:
  • Phone: 860-774-0215
  • Fax: 860-774-2256
Mailing address:
  • Phone: 860-315-3818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001172
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: