Provider Demographics
NPI:1194575340
Name:ARMSTRONG, DEBORAH (LCPC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 THICKET PT
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-5662
Mailing Address - Country:US
Mailing Address - Phone:309-825-5093
Mailing Address - Fax:
Practice Address - Street 1:1540 E COLLEGE AVE STE 9
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-6158
Practice Address - Country:US
Practice Address - Phone:309-825-5093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.001721101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health