Diane Spade is a Mental Health in Menominee, Michigan. Diane Spade practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Diane Spade is 1073648143. The last update date is 2015-02-12.
Diane Spade's current location address is 908 2nd St, Menominee, Michigan. You can contact this provider via phone number 9068649830 and fax number 9068649831. The mailing address for Diane Spade is 908 2nd St, Menominee, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Spade |
|---|---|
| Address | 908 2nd St, Menominee, Michigan |
| Phone Number | 9068649830 |
| Fax Number | 9068649831 |
| Sole Proprietor | Y |
| Credentials | MA., LPC |
NPI Number Detail
| NPI Number | 1073648143 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2015-02-12 |
Provider Mailing Address Detail
| Address | 908 2nd St |
|---|---|
| City | Menominee |
| State | Michigan (MI) |
| Post Code | 498583245 |
| Phone Number | 9068649830 |
| Fax Number | 9068649831 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 6401010032 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 730195 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Diane Spade by the Centers for Medicare & Medicaid Services (CMS)?
The Diane Spade has been assigned the NPI (National Provider Identifier) 1073648143. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Diane Spade's facilities are geographically located?
The facilities of Diane Spade are physically situated at the following location: 908 2Nd St, Menominee, MI, 498583245.
What is the area of specialization for Diane Spade, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Diane Spade is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did Diane Spade receive its 1073648143 assignment from the Centers for Medicare & Medicaid Services?
The Diane Spade was assigned its 1073648143 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Diane Spade last refreshed?
The information related to the Diane Spade, including its address, specialty, and other relevant details, was last updated on 2015-02-12.
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