Healthcare Provider Details

I. General information

NPI: 1255579298
Provider Name (Legal Business Name): MELISSA LANGILL MA LCMHC MLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

372 WEST ST
KEENE NH
03431-2412
US

IV. Provider business mailing address

372 WEST ST STE 102
KEENE NH
03431-2412
US

V. Phone/Fax

Practice location:
  • Phone: 866-534-2639
  • Fax: 800-480-7578
Mailing address:
  • Phone: 866-534-2639
  • Fax: 800-480-4578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0659
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0135156PROV
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number909
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: