Provider Demographics
NPI:1518301498
Name:ARMSTRONG, LORI (CEAP, LEAP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CEAP, LEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STONEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27048-8714
Mailing Address - Country:US
Mailing Address - Phone:336-552-8831
Mailing Address - Fax:
Practice Address - Street 1:5900 SUMMIT AVENUE
Practice Address - Street 2:
Practice Address - City:STONEVILLE
Practice Address - State:NC
Practice Address - Zip Code:27048-8714
Practice Address - Country:US
Practice Address - Phone:336-217-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC138101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12518156OtherCAQH