Provider Demographics
NPI:1598013336
Name:DIANE PASCOE COUNSELING, LLC
Entity Type:Organization
Organization Name:DIANE PASCOE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:PASCOE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:512-289-4664
Mailing Address - Street 1:1800 FRANKLIN MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7713
Mailing Address - Country:US
Mailing Address - Phone:512-289-4664
Mailing Address - Fax:
Practice Address - Street 1:921 W NEW HOPE DR
Practice Address - Street 2:STE 404
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6784
Practice Address - Country:US
Practice Address - Phone:512-289-4664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1867106H00000X
NM0133351106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028486101Medicaid