Provider Demographics
NPI:1689066755
Name:LANGHEIM, JOSEPH (LMHC, LPC, CTT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:LANGHEIM
Suffix:
Gender:M
Credentials:LMHC, LPC, CTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 E JICARILLA ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-1503
Mailing Address - Country:US
Mailing Address - Phone:314-410-9415
Mailing Address - Fax:
Practice Address - Street 1:1232 E BROADWAY RD STE 205
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1509
Practice Address - Country:US
Practice Address - Phone:314-410-9415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2024-12-30
Deactivation Date:2018-11-08
Deactivation Code:
Reactivation Date:2019-05-01
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20705101YA0400X, 101YM0800X
FLMH12776101YM0800X
WALH61269025101YM0800X
MO2019009806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)