Provider Demographics
NPI:1528344884
Name:ARMSTRONG, STACEY DANSBERRY (MA, LPC, LPCC)
Entity type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:DANSBERRY
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA, LPC, LPCC
Other - Prefix:MS
Other - First Name:STACEY
Other - Middle Name:DANSBERRY
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, LPCC
Mailing Address - Street 1:2160 TAHOE CIR
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-8931
Mailing Address - Country:US
Mailing Address - Phone:314-225-7745
Mailing Address - Fax:
Practice Address - Street 1:2160 TAHOE CIR
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-8931
Practice Address - Country:US
Practice Address - Phone:314-225-7745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9910101YP2500X
MO2011035777101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional