Provider Demographics
NPI:1003559477
Name:LAMBRECHT, DIANA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:LAMBRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 AUTUMN TRL
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-8936
Mailing Address - Country:US
Mailing Address - Phone:214-732-4490
Mailing Address - Fax:972-414-8677
Practice Address - Street 1:2118 AUTUMN TRL
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-8936
Practice Address - Country:US
Practice Address - Phone:214-732-4490
Practice Address - Fax:972-414-8677
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical