Provider Demographics
NPI:1417545229
Name:OWEN, DIANNA (LPC)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:
Last Name:OWEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:SUE
Other - Last Name:OWEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:320 WATER OAK
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-6518
Mailing Address - Country:US
Mailing Address - Phone:940-300-3438
Mailing Address - Fax:
Practice Address - Street 1:320 WATER OAK
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-6518
Practice Address - Country:US
Practice Address - Phone:940-300-3438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional