MS. DIANE SPADE MA. LPC NPI 1073648143

NPI Information

NPI: 1073648143
Provider Name: MS. DIANE SPADE, MA., LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
908 2ND ST
MENOMINEE, MI
ZIP 49858
Phone: (906) 864-9830
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MS. Diane Spade, MA., LPC is a mental health counselor in Menominee, MI. MS. Diane Spade, MA., LPC NPI is 1073648143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

908 2ND ST
MENOMINEE, MI
ZIP 49858-245
Phone: (906) 864-9830
Fax: (906) 864-9831

The enumeration date for this NPI number is 2/22/2007 and was last updated on 2/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6401010032	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	382143740	OTHER	MICHIGAN	TAX ID NUMBER
2	730195	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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