Provider Demographics
NPI:1164087300
Name:STUART, DIANN CHERE (LAMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANN
Middle Name:CHERE
Last Name:STUART
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 ALEXANDER DR STE 240
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-3722
Mailing Address - Country:US
Mailing Address - Phone:678-347-0255
Mailing Address - Fax:
Practice Address - Street 1:4625 ALEXANDER DR STE 240
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-3722
Practice Address - Country:US
Practice Address - Phone:678-347-0255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist