Healthcare Provider Details

I. General information

NPI: 1053126532
Provider Name (Legal Business Name): CHRISTINA LANGFORD NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 CALISTA FLT
LEXINGTON KY
40511-9258
US

IV. Provider business mailing address

816 CALISTA FLT
LEXINGTON KY
40511-9258
US

V. Phone/Fax

Practice location:
  • Phone: 859-230-2863
  • Fax:
Mailing address:
  • Phone: 859-230-2863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: