Provider Demographics
NPI:1609989839
Name:BOONE, DIANA (LPC)
Entity Type:Individual
Prefix:MR
First Name:DIANA
Middle Name:
Last Name:BOONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 OHIO DR.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-985-1424
Mailing Address - Fax:972-469-7124
Practice Address - Street 1:2301 OHIO DR
Practice Address - Street 2:SUITE 202
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3927
Practice Address - Country:US
Practice Address - Phone:972-985-1424
Practice Address - Fax:972-469-7124
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13666101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional