Provider Demographics
NPI:1295280279
Name:ARMSTRONG, ARETHA (LPC)
Entity type:Individual
Prefix:MRS
First Name:ARETHA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ARETHA
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1362 W COLONY DR
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-2657
Mailing Address - Country:US
Mailing Address - Phone:708-612-8237
Mailing Address - Fax:
Practice Address - Street 1:6819 167TH ST
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2501
Practice Address - Country:US
Practice Address - Phone:708-633-8000
Practice Address - Fax:708-633-8008
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.012216101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor