Healthcare Provider Details

I. General information

NPI: 1629704150
Provider Name (Legal Business Name): SHARELLE A LANGAIGNE MPS, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/27/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 PENNSYLVANIA AVE SE # 415
WASHINGTON DC
20003-4303
US

IV. Provider business mailing address

611 PENNSYLVANIA AVE SE STE 415
WASHINGTON DC
20003-4303
US

V. Phone/Fax

Practice location:
  • Phone: 888-878-8236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: