| Mallory Shea Langston, LPC | |
|
501 N Sunset Ln, Raymore, MO 64083-9402 | |
| (844) 853-8937 | |
| Not Available |
| Full Name | Mallory Shea Langston |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 501 N Sunset Ln, Raymore, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750748836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2013041570 (Missouri) | Primary |
| Entity Name | Rediscover |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841235298 PECOS PAC ID: 3375453517 Enrollment ID: O20031118000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Shea Langston, LPC 1800 Community, Clinton, MO 64735-8804 Ph: () - | Mallory Shea Langston, LPC 501 N Sunset Ln, Raymore, MO 64083-9402 Ph: (844) 853-8937 |
Lillian Tollison, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 N Sunset Ln, Raymore, MO 64083 Phone: 844-853-8937 | |
Mariko Prigel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 757 E 155th St, Raymore, MO 64083 Phone: 816-838-8587 | |
Ethan Taff, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 N Sunset Ln, Raymore, MO 64083 Phone: 816-680-8752 | |
Traci Reynolds, LPC Counselor Medicare: Medicare Enrolled Practice Location: 501 N Sunset Ln, Raymore, MO 64083 Phone: 844-853-8937 Fax: 816-817-1619 | |
Hope Lyn Gosse, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 501 N Sunset Ln, Raymore, MO 64083 Phone: 844-853-8937 | |
Sarah Keto, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 Remington Plz, Raymore, MO 64083 Phone: 888-403-1071 | |
Breora Page, Counselor Medicare: Medicare Enrolled Practice Location: 501 N Sunset Ln, Raymore, MO 64083 Phone: 844-853-8937 |