Provider Demographics
NPI:1679289912
Name:LANGHEIM, ASHLEIGH KLAS (EDS, LPES)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:KLAS
Last Name:LANGHEIM
Suffix:
Gender:F
Credentials:EDS, LPES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 GOVERNORS POINT CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7947
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 BELLE ISLE AVE STE 110
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8379
Practice Address - Country:US
Practice Address - Phone:843-212-0380
Practice Address - Fax:864-532-4009
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4781103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool