Provider Demographics
NPI:1265560080
Name:SWEETEN, DIANA BERNICE (LMHC)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:BERNICE
Last Name:SWEETEN
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 N FLAGLER DR APT 306
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2647
Mailing Address - Country:US
Mailing Address - Phone:561-221-1644
Mailing Address - Fax:
Practice Address - Street 1:907 SE CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3904
Practice Address - Country:US
Practice Address - Phone:772-210-4331
Practice Address - Fax:772-510-5780
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
FLMH25120101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional