Provider Demographics
NPI:1245332766
Name:LINDGREN, DIANE KAY (LPC)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:KAY
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 E TRINITY MILLS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2327
Mailing Address - Country:US
Mailing Address - Phone:214-923-2174
Mailing Address - Fax:855-908-2505
Practice Address - Street 1:2828 E TRINITY MILLS RD STE 106
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2327
Practice Address - Country:US
Practice Address - Phone:214-923-2174
Practice Address - Fax:855-908-2505
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19313101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health