Provider Demographics
NPI:1750330965
Name:ARMSTRONG, ALECIA (MA LCMHC)
Entity type:Individual
Prefix:
First Name:ALECIA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA LCMHC
Other - Prefix:
Other - First Name:ALECIA
Other - Middle Name:
Other - Last Name:ARMSTRONG-TOLOSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3385 BALTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:VT
Mailing Address - Zip Code:05143-9567
Mailing Address - Country:US
Mailing Address - Phone:802-356-4712
Mailing Address - Fax:
Practice Address - Street 1:160 WALL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-3528
Practice Address - Country:US
Practice Address - Phone:802-356-4712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0000257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT28881OtherBC/BS PROVIDER NUMBER
VT1007059Medicaid