Provider Demographics
NPI:1104367903
Name:MARTE, DIANA (LMHC)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:MARTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5455 KINETIC PT APT 306
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-7123
Mailing Address - Country:US
Mailing Address - Phone:413-204-1204
Mailing Address - Fax:
Practice Address - Street 1:246 MONTCALM ST STE 2C
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-3166
Practice Address - Country:US
Practice Address - Phone:413-204-1204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FL26193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health