Provider Demographics
NPI:1467812669
Name:FLAUGHER, DIANE (PCC-S)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:FLAUGHER
Suffix:
Gender:F
Credentials:PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W TECHNE CENTER DR
Mailing Address - Street 2:SUITE B-5
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-8403
Mailing Address - Country:US
Mailing Address - Phone:513-753-9964
Mailing Address - Fax:513-753-9968
Practice Address - Street 1:50 W TECHNE CENTER DR
Practice Address - Street 2:SUITE B-5
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-8403
Practice Address - Country:US
Practice Address - Phone:513-753-9964
Practice Address - Fax:513-753-9968
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH892570101YA0400X
OHE.0004045101YP2500X
OH190216163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH190216OtherOHIO NURSING BOARD
OHE.0004045OtherSTATE OF OHIO COUNSELOR, SOCIAL WORKER AND MARRIAGE & FAMILY THERAPIST BOARD
OH892570OtherSTATE OF OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD