Provider Demographics
NPI:1588211742
Name:ARMSTRONG, TEAIRA L (RSW)
Entity type:Individual
Prefix:
First Name:TEAIRA
Middle Name:L
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 CHURCHILL ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-4807
Mailing Address - Country:US
Mailing Address - Phone:985-774-4419
Mailing Address - Fax:
Practice Address - Street 1:2007 CHURCHILL ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-4807
Practice Address - Country:US
Practice Address - Phone:985-774-4419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty