MEDICARE: MRS. MICHELLE LEE ARMSTRONG BS

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1659341493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE LEE ARMSTRONG BS

Provider Business Mailing Address
First Line	:	2708 FISTER PLACE BLVD
Second Line	:
City	:	HEBRON
State	:	KY
Zip	:	41048-7745
Country	:	US
Telephone Number	:	859-586-0974
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 FISTER PLACE BLVD
Second Line	:
City	:	HEBRON
State	:	KY
Zip	:	41048-7745
Country	:	US
Telephone Number	:	859-586-0974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

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