Healthcare Provider Details

I. General information

NPI: 1033131875
Provider Name (Legal Business Name): SUSAN GARNER ARMES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 11/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 WASHINGTON ST
AMELIA COURT HOUSE VA
23002-4897
US

IV. Provider business mailing address

P.O. DRAWER 248
FARMVILLE VA
23901
US

V. Phone/Fax

Practice location:
  • Phone: 804-561-5057
  • Fax: 804-561-2294
Mailing address:
  • Phone: 804-561-5057
  • Fax: 804-561-2294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701003177
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: