Healthcare Provider Details

I. General information

NPI: 1386745958
Provider Name (Legal Business Name): SUSANNE HAMPTON ARMSTRONG LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 KASS CIR
SPRING HILL FL
34606-4308
US

IV. Provider business mailing address

7472 APACHE TRAIL
SPRING HILL FL
34606
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-3188
  • Fax: 352-686-9394
Mailing address:
  • Phone: 863-370-2210
  • Fax: 352-686-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5355
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: