Provider Demographics
NPI:1508917477
Name:STRENG, DIANE CHRISTY (LLP)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:CHRISTY
Last Name:STRENG
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 WASHINGTON AVE
Mailing Address - Street 2:SUITE 370C
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-1390
Mailing Address - Country:US
Mailing Address - Phone:616-847-1530
Mailing Address - Fax:616-847-1521
Practice Address - Street 1:41 WASHINGTON AVE
Practice Address - Street 2:SUITE 370C
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1390
Practice Address - Country:US
Practice Address - Phone:616-847-1530
Practice Address - Fax:616-847-1521
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007351103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling