Provider Demographics
NPI:1588202725
Name:DEMPCY, DIANA MARIE (LMHCA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:MARIE
Last Name:DEMPCY
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 94TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6506
Mailing Address - Country:US
Mailing Address - Phone:504-330-6017
Mailing Address - Fax:
Practice Address - Street 1:400 108TH AVE NE STE 700
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-8425
Practice Address - Country:US
Practice Address - Phone:425-454-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60973285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health