Provider Demographics
NPI:1720480114
Name:ARMSTRONG, AMY (MA, LAC, LPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA, LAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3528 WONDER DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-4543
Mailing Address - Country:US
Mailing Address - Phone:303-638-8539
Mailing Address - Fax:
Practice Address - Street 1:1001 S PERRY ST STE 104B
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1950
Practice Address - Country:US
Practice Address - Phone:720-485-3178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000744101YA0400X
390200000X
COLPC.0014435101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program