Provider Demographics
NPI:1114370384
Name:WARSHOFSKY, DIANE (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:WARSHOFSKY
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 CAROLINA STREET
Mailing Address - Street 2:SUITE 114
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1032
Mailing Address - Country:US
Mailing Address - Phone:336-542-2060
Mailing Address - Fax:
Practice Address - Street 1:1301 CAROLINA STREET
Practice Address - Street 2:SUITE 114
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1032
Practice Address - Country:US
Practice Address - Phone:336-542-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-22
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9697101YP2500X
NC1701106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist