Healthcare Provider Details

I. General information

NPI: 1942106919
Provider Name (Legal Business Name): MS. ABIGAIL KATHERINE LANGHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2026
Last Update Date: 10/16/2026
Certification Date: 10/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 DWIGHT RD STE 100
LONGMEADOW MA
01106-1752
US

IV. Provider business mailing address

1924 ATCHISON AVE
WHITING IN
46394-1502
US

V. Phone/Fax

Practice location:
  • Phone: 413-285-2414
  • Fax:
Mailing address:
  • Phone: 865-407-9635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: