Provider Demographics
NPI:1477165983
Name:LASHER-PENTI, DIANE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:
Last Name:LASHER-PENTI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-4140
Mailing Address - Country:US
Mailing Address - Phone:860-578-6218
Mailing Address - Fax:
Practice Address - Street 1:31 ARBOR WAY
Practice Address - Street 2:
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-3354
Practice Address - Country:US
Practice Address - Phone:860-870-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001214106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist