Provider Demographics
NPI:1679958904
Name:JOHNBAPTISTE, DIAHANN (MPA, MS, LPC)
Entity Type:Individual
Prefix:
First Name:DIAHANN
Middle Name:
Last Name:JOHNBAPTISTE
Suffix:
Gender:F
Credentials:MPA, MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 JACKSON ST APT 11
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-1163
Mailing Address - Country:US
Mailing Address - Phone:404-317-3430
Mailing Address - Fax:
Practice Address - Street 1:247 JACKSON ST
Practice Address - Street 2:UNIT 11
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263
Practice Address - Country:US
Practice Address - Phone:404-317-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013991101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAAPC004857OtherGA BOARD OF PROF. COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPISTS