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NPI Code Detail

MEDICARE: ARMMOR LLC

MEDICARE: ARMMOR LLC
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor
4103K00000XBehavior Analyst

General Provider Information

NPI Number : 1598387813
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARMMOR LLC
Provider Business Mailing Address
First Line : 701 TILLERY ST STE 12
Second Line :
City : AUSTIN
State : TX
Zip : 78702-3751
Country : US
Telephone Number : 512-213-0110
Fax Number :
Provider Business Practice Location Address
First Line : 701 TILLERY ST STE 12
Second Line :
City : AUSTIN
State : TX
Zip : 78702-3751
Country : US
Telephone Number : 512-213-0110
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANEQUA BLAKELY
Credential :
Telephone Number : 815-222-1137
Provider Enumeration Date : 05/08/2020
Last Update Date : 05/26/2020

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Directions to “ARMMOR LLC ” Practice Location

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