Provider Demographics
NPI:1255788154
Name:ARMSTRONG, STEPHANIE R (MS, LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:R
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 HIGHWAY Z
Mailing Address - Street 2:
Mailing Address - City:HALF WAY
Mailing Address - State:MO
Mailing Address - Zip Code:65663-9243
Mailing Address - Country:US
Mailing Address - Phone:417-848-1756
Mailing Address - Fax:
Practice Address - Street 1:2025 E CHESTNUT EXPY STE J
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-6507
Practice Address - Country:US
Practice Address - Phone:417-848-1756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MO2016013435101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional