Healthcare Provider Details

I. General information

NPI: 1205762291
Provider Name (Legal Business Name): PETRA ARMSTRONG LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4570 AVERY LN SE
LACEY WA
98503-5608
US

IV. Provider business mailing address

930 22ND ST APT 305
BELLINGHAM WA
98225-6861
US

V. Phone/Fax

Practice location:
  • Phone: 360-464-7935
  • Fax:
Mailing address:
  • Phone: 360-707-8293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70088973
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: