Provider Demographics
NPI:1023142213
Name:ARMSTRONG, MICHELE (MA)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:REESER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1400 E BOULDER ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5533
Mailing Address - Country:US
Mailing Address - Phone:719-365-5221
Mailing Address - Fax:719-365-8980
Practice Address - Street 1:1400 E BOULDER ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5533
Practice Address - Country:US
Practice Address - Phone:719-365-5221
Practice Address - Fax:719-365-8980
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional