Provider Demographics
NPI:1710631692
Name:WELSH, DIANA ALLEN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ALLEN
Last Name:WELSH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:A
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2194 AS TE WETTE BEACH DRIVE
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242
Mailing Address - Country:US
Mailing Address - Phone:330-714-3733
Mailing Address - Fax:
Practice Address - Street 1:3200 W CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-9458
Practice Address - Country:US
Practice Address - Phone:330-714-3733
Practice Address - Fax:517-437-0033
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional