Mr Ethan Martin Langston, - Counselor in Memphis, TN

Mr Ethan Martin Langston, is a Counselor - Mental Health based in Memphis, Tennessee. Mr Ethan Martin Langston is licensed to practice in * (Not Available) (license number ) and his current practice location is 2714 Union Extended, Suite 400, Memphis, Tennessee. He can be reached at his office (for appointments etc.) via phone at (901) 320-6100.

NPI number for Mr Ethan Martin Langston is 1457688798 and his current mailing address is 5087 Flamingo Road, Memphis, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457688798.

Contact Information

Mr Ethan Martin Langston,
2714 Union Extended, Suite 400,
Memphis, TN 38112
(901) 320-6100
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Ethan Martin Langston
GenderMale
SpecialityCounselor - Mental Health
Location2714 Union Extended, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457688798
  • Provider Enumeration Date: 11/06/2009
  • Last Update Date: 11/06/2009

Medical Identifiers

Medical identifiers for Mr Ethan Martin Langston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457688798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ethan Martin Langston is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ethan Martin Langston,
5087 Flamingo Road,
Memphis, TN 38117

Ph: () -
Mr Ethan Martin Langston,
2714 Union Extended, Suite 400,
Memphis, TN 38112

Ph: (901) 320-6100

Reviews and Comments


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