Provider Demographics
NPI:1780417451
Name:SUN, DIANA (LMHC)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 DOVER GRN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1710
Mailing Address - Country:US
Mailing Address - Phone:347-839-5418
Mailing Address - Fax:
Practice Address - Street 1:307 W 38TH ST FL 16
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-9514
Practice Address - Country:US
Practice Address - Phone:347-292-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health