Provider Demographics
NPI:1184957425
Name:PIXLEY, DIANE (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:PIXLEY
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 GOODPASTURE LOOP APT 152
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1569
Mailing Address - Country:US
Mailing Address - Phone:425-906-3663
Mailing Address - Fax:
Practice Address - Street 1:4675 GOODPASTURE LOOP APT 152
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1569
Practice Address - Country:US
Practice Address - Phone:425-906-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007555101YM0800X
ORC6152101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health