Provider Demographics
NPI:1508046780
Name:HINE, DIANNA CAROLE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANNA
Middle Name:CAROLE
Last Name:HINE
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 1:2081 S SUNBURST DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-8159
Mailing Address - Country:US
Mailing Address - Phone:520-290-4866
Mailing Address - Fax:520-844-4400
Practice Address - Street 1:2802 N ALVERNON WAY
Practice Address - Street 2:SUITE 300
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1500
Practice Address - Country:US
Practice Address - Phone:520-481-9059
Practice Address - Fax:520-844-4400
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-10061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLMFT 10061OtherBEHAVIORAL HEALTH EXAM