Provider Demographics
NPI:1699835991
Name:DIANNA L DEAN, LPC, PC
Entity Type:Organization
Organization Name:DIANNA L DEAN, LPC, PC
Other - Org Name:TRINITY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LBSW
Authorized Official - Phone:903-465-6344
Mailing Address - Street 1:416 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-2822
Mailing Address - Country:US
Mailing Address - Phone:903-465-6344
Mailing Address - Fax:903-465-5943
Practice Address - Street 1:416 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75021-2822
Practice Address - Country:US
Practice Address - Phone:903-465-6344
Practice Address - Fax:903-465-5943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16757101YM0800X
OK3066101YM0800X
TX26213104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2808941-01Medicaid