Provider Demographics
NPI:1598270266
Name:ARMSTRONG, KATRINA DEANNE (LPC, CFBT)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:DEANNE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LPC, CFBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16206 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-1616
Mailing Address - Country:US
Mailing Address - Phone:804-614-0408
Mailing Address - Fax:
Practice Address - Street 1:7150 HERITAGE VILLAGE PLZ STE 201
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3064
Practice Address - Country:US
Practice Address - Phone:571-445-0154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007376101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional