Provider Demographics
NPI:1043959695
Name:LANGSTON, KELLY LAUREN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:LAUREN
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25103 DECKER PRAIRIE ROSEHL RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-8865
Mailing Address - Country:US
Mailing Address - Phone:903-424-3654
Mailing Address - Fax:
Practice Address - Street 1:17750 CALI DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2700
Practice Address - Country:US
Practice Address - Phone:281-586-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health