Provider Demographics
NPI:1902476997
Name:ARMSTRONG, JULIA (LPC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20020 ZOLMAN RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43019-9351
Mailing Address - Country:US
Mailing Address - Phone:567-203-1130
Mailing Address - Fax:
Practice Address - Street 1:111 S MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-3307
Practice Address - Country:US
Practice Address - Phone:740-393-6001
Practice Address - Fax:740-393-6040
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
221700000X
OHC.2103507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist