Healthcare Provider Details
I. General information
NPI: 1154520419
Provider Name (Legal Business Name): FRANK WILLETT ARMSTRONG IV LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/16/2007
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
204 PACKETS CT
WILLIAMSBURG VA
23185-5629
US
IV. Provider business mailing address
1657 MERRIMAC TRL
WILLIAMSBURG VA
23185-5624
US
V. Phone/Fax
- Phone: 757-345-8459
- Fax:
- Phone: 757-220-3200
- Fax: 757-253-4371
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 0701002854 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: