Healthcare Provider Details

I. General information

NPI: 1629344403
Provider Name (Legal Business Name): DENNIS JOHN LANGLAND MA LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 CLYDE PARK AVE SW STE 1C
BYRON CENTER MI
49315-8559
US

IV. Provider business mailing address

2179 132ND AVE
HOPKINS MI
49328-9504
US

V. Phone/Fax

Practice location:
  • Phone: 616-322-8201
  • Fax:
Mailing address:
  • Phone: 616-322-8201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401008929
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: