Provider Demographics
NPI:1194052894
Name:ARMSTRONG, LUCILLE ALLENE (LCSW, LMFT)
Entity type:Individual
Prefix:MS
First Name:LUCILLE
Middle Name:ALLENE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 ZANES CT
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-1748
Mailing Address - Country:US
Mailing Address - Phone:214-236-3440
Mailing Address - Fax:
Practice Address - Street 1:4702 ZANES CT
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-1748
Practice Address - Country:US
Practice Address - Phone:214-236-3440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001081041C0700X
TX2127106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist