Samuel D Lang | North Miami, FL • PECOS Search

Samuel D Lang

Counselor

Behavioral Health & Social Service Providers

2200 Sole Mia Square Ln, North Miami, FL 33181-1242

PECOS Enrollment

Based on the most recent information from CMS, provider Samuel D Lang does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1013725050
Provider Type
Individual
Full Name
Lang, Samuel D
Credential
M.S., LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/23/2024
Last Updated
12/23/2024

Contact Information

Practice Location

2200 Sole Mia Square Ln, North Miami, FL 33181-1242

Unlisted Fax

Mailing Location

2200 Sole Mia Square Ln, North Miami, FL 33181-1242

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH24690 Florida