Provider Demographics
NPI:1386405413
Name:ARMSTRONG, SHEPPERSON HALEY (LPC)
Entity type:Individual
Prefix:
First Name:SHEPPERSON
Middle Name:HALEY
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12836 ASHTREE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3095
Mailing Address - Country:US
Mailing Address - Phone:804-301-9771
Mailing Address - Fax:
Practice Address - Street 1:12836 ASHTREE RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3095
Practice Address - Country:US
Practice Address - Phone:803-301-9771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health