DIANA F. BURKE LPC LLC NPI 1245768431

NPI Information

NPI: 1245768431
Provider Name: DIANA F. BURKE, LPC, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
337 S MILLEDGE AVE STE 216
ATHENS, GA
ZIP 30605
Phone: (678) 787-3118
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DIANA F. BURKE, LPC, LLC is a professional counselor in Athens, GA. DIANA F. BURKE, LPC, LLC NPI is 1245768431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

337 S MILLEDGE AVE STE 216
ATHENS, GA
ZIP 30605-664
Phone: (678) 787-3118

The provider's authorized official is Diana Burke .
The authorized official title is Owner and has the following contact phone number (706) 410-5786.

The enumeration date for this NPI number is 6/1/2017 and was last updated on 6/7/2017.

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	101YP2500X	Counselor	Professional	LPC002389	GEORGIA	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	896450	MEDICAID	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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