MEDICARE: ARMOR COUNSELING AND TRAINING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MFT.0001630	OTHER	CO	DORA

General Provider Information

NPI Number	:	1083279558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMOR COUNSELING AND TRAINING INC

Provider Business Mailing Address
First Line	:	14085 BLACK FOREST RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-2854
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14085 BLACK FOREST RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-2854
Country	:	US
Telephone Number	:	719-323-6674
Fax Number	:	719-259-3143

Authorized Official
Title or Position	:	OWNER, PROVIDER
Name	:	JOSEPH FREY
Credential	:	LMFT
Telephone Number	:	719-323-6674

Provider Enumeration Date	:	05/09/2019
Last Update Date	:	02/05/2020

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