Provider Demographics
NPI:1225103377
Name:MORIN, DIANA FRANCES (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:FRANCES
Last Name:MORIN
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 GEORGIAN DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-6279
Mailing Address - Country:US
Mailing Address - Phone:214-344-6629
Mailing Address - Fax:
Practice Address - Street 1:167 GEORGIAN DR
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-6279
Practice Address - Country:US
Practice Address - Phone:214-344-6629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9854101YP2500X
TX1522106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2932LCOtherBLUE CROSS BLUE SHIELD