Provider Demographics
NPI:1053867911
Name:ORADO, DIANE (LPC)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:
Last Name:ORADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MARY ALICE PARK RD STE 804
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2664
Mailing Address - Country:US
Mailing Address - Phone:404-374-4256
Mailing Address - Fax:888-202-6050
Practice Address - Street 1:102 MARY ALICE PARK RD STE 804
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040
Practice Address - Country:US
Practice Address - Phone:470-239-4290
Practice Address - Fax:888-202-6050
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008846101YP1600X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral