Healthcare Provider Details

I. General information

NPI: 1003114919
Provider Name (Legal Business Name): AMBER LANGLINAIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 CALHOUN ST STE 101
NEW ORLEANS LA
70118-5911
US

IV. Provider business mailing address

935 CALHOUN ST STE 101
NEW ORLEANS LA
70118-5911
US

V. Phone/Fax

Practice location:
  • Phone: 504-525-2366
  • Fax: 504-525-7525
Mailing address:
  • Phone: 504-525-2366
  • Fax: 504-525-7525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: