Provider Demographics
NPI:1841003837
Name:WARD, DIANA MARIE (PLPC, NCC)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 BENDLER DR
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-2601
Mailing Address - Country:US
Mailing Address - Phone:217-473-6351
Mailing Address - Fax:
Practice Address - Street 1:3616 YOUREE DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2122
Practice Address - Country:US
Practice Address - Phone:318-779-0104
Practice Address - Fax:318-421-3193
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9772101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health