Provider Demographics
NPI:1831312974
Name:ARMOUR, JERRY L (LPC)
Entity Type:Individual
Prefix:
First Name:JERRY
Middle Name:L
Last Name:ARMOUR
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BISHOP HOLLOW LANE
Mailing Address - Street 2:
Mailing Address - City:PLEASANT SHADE
Mailing Address - State:TN
Mailing Address - Zip Code:37145-3141
Mailing Address - Country:US
Mailing Address - Phone:615-677-9223
Mailing Address - Fax:
Practice Address - Street 1:413 SPRING ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405
Practice Address - Country:US
Practice Address - Phone:423-756-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2018-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TN2991101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health