MEDICARE: MS. LAURA BETH ARMSTRONG LCSW

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	101YP2500X	Professional Counselor	C005149	NC

General Provider Information

NPI Number	:	1528117132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA BETH ARMSTRONG LCSW

Provider Business Mailing Address
First Line	:	350 PEE DEE AVE
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-4932
Country	:	US
Telephone Number	:	919-856-4703
Fax Number	:	919-856-3795

Provider Business Practice Location Address
First Line	:	350 PEE DEE AVE
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-4932
Country	:	US
Telephone Number	:	919-856-4703
Fax Number	:	919-856-3795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/19/2013

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