Provider Demographics
NPI:1073072716
Name:ARMSTRONG, MADISON MAE
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:MAE
Last Name:ARMSTRONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01534-2216
Mailing Address - Country:US
Mailing Address - Phone:508-944-9528
Mailing Address - Fax:
Practice Address - Street 1:38 POND ST STE 101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3822
Practice Address - Country:US
Practice Address - Phone:508-528-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10003987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health