Healthcare Provider Details

I. General information

NPI: 1841867892
Provider Name (Legal Business Name): TORI LYNN LANGE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 W MICHIGAN ST UNIT 16067
DULUTH MN
55816-0016
US

IV. Provider business mailing address

1216 E 8TH ST
DULUTH MN
55805-1654
US

V. Phone/Fax

Practice location:
  • Phone: 218-733-3000
  • Fax:
Mailing address:
  • Phone: 720-413-4902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5609
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: