Provider Demographics
NPI:1699034942
Name:ARMBRUSTER, STANLEY RAY (LMFT)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:RAY
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:ARMBRUSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1111 E TAHQUITZ CANYON WAY STE 121
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-0102
Mailing Address - Country:US
Mailing Address - Phone:760-545-8894
Mailing Address - Fax:
Practice Address - Street 1:1111 E TAHQUITZ CANYON WAY STE 121
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-0102
Practice Address - Country:US
Practice Address - Phone:760-545-8894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CALMFT94428106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health