Provider Demographics
NPI:1942776349
Name:ARMSTRONG, SHERYL DENISE (MA, MDIV)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:DENISE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 LEISURE LAKE DR # Y9
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-7360
Mailing Address - Country:US
Mailing Address - Phone:478-449-0167
Mailing Address - Fax:
Practice Address - Street 1:800 LEISURE LAKE DR # Y9
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-7360
Practice Address - Country:US
Practice Address - Phone:478-449-0167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA63205103TC1900X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty