Diana Whay
Individual provider Active NPI Mental Health Counselor · Stanley, NM
NPI 1578920302 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1578920302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- T0178141 (NM)
- Practice address
- 7 Stallion Rd
Stanley, NM 87056 - Phone
- (505) 948-4942
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0178141 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T0178141 | NM | Yes |
Addresses
Primary practice location
7 Stallion Rd
Stanley, NM 87056
Mailing address
PO Box 873
Edgewood, NM 87015-0873
Phone (505) 948-4942
Other providers in Stanley, NM
All providers in Stanley, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. 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.