Provider Demographics
NPI:1548322282
Name:WEEDEN-ARMOR, LILLIE KATHLEEN (LPC)
Entity type:Individual
Prefix:MRS
First Name:LILLIE
Middle Name:KATHLEEN
Last Name:WEEDEN-ARMOR
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 1:2001 S JOHNSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-6518
Mailing Address - Country:US
Mailing Address - Phone:919-336-0693
Mailing Address - Fax:918-336-0693
Practice Address - Street 1:2001 S JOHNSTONE AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-6518
Practice Address - Country:US
Practice Address - Phone:919-336-0693
Practice Address - Fax:918-336-0693
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional