Provider Demographics
NPI:1952099822
Name:DIAMOND COUNSELING ASSOCIATES LLC
Entity Type:Organization
Organization Name:DIAMOND COUNSELING ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICSW
Authorized Official - Prefix:
Authorized Official - First Name:ELYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-991-9485
Mailing Address - Street 1:56 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-1600
Mailing Address - Country:US
Mailing Address - Phone:978-857-3316
Mailing Address - Fax:
Practice Address - Street 1:56 BOSTON RD
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1600
Practice Address - Country:US
Practice Address - Phone:978-991-9485
Practice Address - Fax:978-226-4892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty