Provider Demographics
NPI:1750458105
Name:STENZEL, DIANNA MICHELLE (LPC)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:MICHELLE
Last Name:STENZEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DIANNA
Other - Middle Name:MICHELLE
Other - Last Name:CHRISTIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 N 47TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-1705
Mailing Address - Country:US
Mailing Address - Phone:913-563-6500
Mailing Address - Fax:913-428-4603
Practice Address - Street 1:1301 N 47TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1705
Practice Address - Country:US
Practice Address - Phone:913-563-6500
Practice Address - Fax:913-428-4603
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS942101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098080CMedicaid
KS100098080AMedicaid