Provider Demographics
NPI:1528277365
Name:ARMBRUSTER, MARY ALYCE (LMHC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:ALYCE
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2472 PINEWOODS CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-2594
Mailing Address - Country:US
Mailing Address - Phone:239-262-1208
Mailing Address - Fax:239-455-2655
Practice Address - Street 1:2210 SANTA BARBARA BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-5439
Practice Address - Country:US
Practice Address - Phone:239-455-2655
Practice Address - Fax:239-455-7235
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLMH5607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9955OtherBLUE CROSS BLUE SHIELD