Diane Apostoloff
Individual provider Active NPI Mental Health Counselor · La Porte, IN
NPI 1104290253 · NPPES record last updated Nov 29, 2015
Key facts
- NPI
- 1104290253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 424 Perry St
La Porte, IN 46350-3200 - Phone
- (219) 809-0333
- Fax
- (219) 531-0859
- NPI assigned
- Nov 29, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
424 Perry St
La Porte, IN 46350-3200
Mailing address
424 Perry St
La Porte, IN 46350-3200
Phone (219) 809-0333
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All providers in La Porte, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.