Provider Demographics
NPI:1861586018
Name:LANGS, SHEA (LCSW)
Entity type:Individual
Prefix:MR
First Name:SHEA
Middle Name:
Last Name:LANGS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 DA VINCI DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-1604
Mailing Address - Country:US
Mailing Address - Phone:901-581-8906
Mailing Address - Fax:
Practice Address - Street 1:2310 DA VINCI DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-1604
Practice Address - Country:US
Practice Address - Phone:901-581-8906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2226-C1041C0700X
MSC69481041C0700X
TX1111671041C0700X
104100000X
TN49861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker