Provider Demographics
NPI:1841775848
Name:PETERSON, DARBI ARMSTRONG (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DARBI
Middle Name:ARMSTRONG
Last Name:PETERSON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W OAK ST STE 312
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-9059
Mailing Address - Country:US
Mailing Address - Phone:214-498-3155
Mailing Address - Fax:
Practice Address - Street 1:400 W OAK ST STE 312
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-9059
Practice Address - Country:US
Practice Address - Phone:214-498-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-26
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71587101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty