Staci Armstrong, LPC
Individual provider Active NPI Professional Counselor · Burley, ID
NPI 1366701138 · NPPES record last updated May 14, 2012
Key facts
- NPI
- 1366701138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-4972 (ID)
- Practice address
- 1334 Miller Ave
Burley, ID 83318 - Phone
- (208) 312-0107
- NPI assigned
- May 14, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-4972 | ID | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-4972 | ID | Yes |
Addresses
Primary practice location
1334 Miller Ave
Burley, ID 83318
Mailing address
629 W 27TH St
Burley, ID 83318-2834
Phone (208) 650-6972
Other providers in Burley, ID
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- Heather Tanner Anthon
- Anthony J Anderson MD & Assoc LLC
- Alice K Ash
- Lacie Shilo Asher
- Aspenwood Counseling and Behavior Center
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All providers in Burley, ID · Professional Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.