Provider Demographics
NPI:1689818783
Name:ARMSTRONG, MARY (MA,BA,LMFT)
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA,BA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 EASTERN BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4325
Mailing Address - Country:US
Mailing Address - Phone:860-652-0428
Mailing Address - Fax:860-652-0081
Practice Address - Street 1:78 EASTERN BLVD STE 2
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4325
Practice Address - Country:US
Practice Address - Phone:860-652-0428
Practice Address - Fax:860-652-0081
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001268106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT464884OtherMHN TRICARE NORTH
CT11962812OtherCAQH
CT008037432Medicaid
CT464884OtherMHN MANAGE HEALTH NETWORK
CT060669107OtherUNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CT060669107OtherUBH- CONNECTICARE WELLMORE GRP/FACILITY
CT060669107OtherUBH-UNITED HEALTHCARE
CT060669107OtherUBH- OXFORD HEALTH FREEDOM/LIBERTY WELLMORE GRP/FACILITY
CT9230326OtherAETNA BEHAVIORAL HEALTH
CTD339225-PINE STREETOtherVALUE OPTIONS
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH
CT008037432Medicaid