Provider Demographics
NPI:1942063920
Name:FIVE STAR COUNSELING
Entity type:Organization
Organization Name:FIVE STAR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STARLETT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:731-337-5091
Mailing Address - Street 1:24 KIRBYWOOD CV
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-1801
Mailing Address - Country:US
Mailing Address - Phone:731-444-1344
Mailing Address - Fax:731-736-2530
Practice Address - Street 1:26 LAMAR CIR STE 3
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-4121
Practice Address - Country:US
Practice Address - Phone:731-337-5091
Practice Address - Fax:731-736-2530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty