NPI 1457433146 · live from the CMS NPI Registry
Diana Kay Wallace, L.I.M.H.P.
Counselor, Mental Health in North Platte, NE. National Provider Identifier 1457433146, active.
NPI record
| NPI | 1457433146 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 518 S Jeffers St Ste 7, North Platte, NE 69101 |
| Practice phone | 308-221-2141 |
| Enumerated | October 20, 2006 |
| Last updated | February 11, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 700 (NE) |
| Counselor, Mental Health primary | 101YM0800X | 583 (NE) |
| Marriage & Family Therapist | 106H00000X | 265 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.