Provider Demographics
NPI:1699746727
Name:ARMILLEI, RAY J (MSW,MA)
Entity type:Individual
Prefix:
First Name:RAY
Middle Name:J
Last Name:ARMILLEI
Suffix:
Gender:M
Credentials:MSW,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 REGAL DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1518
Mailing Address - Country:US
Mailing Address - Phone:410-515-0426
Mailing Address - Fax:410-391-7369
Practice Address - Street 1:617 STEMMERS RUN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-3334
Practice Address - Country:US
Practice Address - Phone:410-569-4184
Practice Address - Fax:410-391-7369
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA107101YA0400X
MD073131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical