Healthcare Provider Details

I. General information

NPI: 1316802002
Provider Name (Legal Business Name): WESLEY A LANGLAIS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MAIN ST
ELLINGTON CT
06029-3360
US

IV. Provider business mailing address

9 LIVINGSTON RD
EAST HARTFORD CT
06108-3823
US

V. Phone/Fax

Practice location:
  • Phone: 860-871-5402
  • Fax:
Mailing address:
  • Phone: 860-817-9293
  • Fax: 860-817-9293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9207
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: