Provider Demographics
NPI:1871627398
Name:ARMISTEAD, SONYA BENNETT (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:BENNETT
Last Name:ARMISTEAD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 PURDUE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5510
Mailing Address - Country:US
Mailing Address - Phone:910-693-7777
Mailing Address - Fax:910-693-1524
Practice Address - Street 1:160 PINEHURST AVE STE J
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-7078
Practice Address - Country:US
Practice Address - Phone:910-693-7777
Practice Address - Fax:910-693-1524
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0062371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical