Diane M. Licht is a Mental Health in Montville, New Jersey. Diane M. Licht practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Diane M. Licht is 1558432682. The last update date is 2007-07-08.
Diane M. Licht's current location address is 52 Lake Shore Dr, Montville, New Jersey. You can contact this provider via phone number 9734029360 and fax number 9734027371. The mailing address for Diane M. Licht is 52 Lake Shore Dr, Montville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane M. Licht |
|---|---|
| Address | 52 Lake Shore Dr, Montville, New Jersey |
| Phone Number | 9734029360 |
| Fax Number | 9734027371 |
| Sole Proprietor | Y |
| Credentials | MA, LPC |
NPI Number Detail
| NPI Number | 1558432682 |
|---|---|
| Provider Enumeration Date | 2006-11-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 52 Lake Shore Dr |
|---|---|
| City | Montville |
| State | New Jersey (NJ) |
| Post Code | 70459721 |
| Phone Number | 9734029360 |
| Fax Number | 9734027371 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 37PC00074500 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identifier code issued to Diane M. Licht by the Centers for Medicare & Medicaid Services (CMS)?
The Diane M. Licht has been assigned the NPI (National Provider Identifier) 1558432682. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Diane M. Licht?
The Diane M. Licht is situated at 52 Lake Shore Dr, in the city of Montville, state of NJ, with the zip code 70459721.
What is Diane M. Licht's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane M. Licht's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did Diane M. Licht receive its 1558432682 assignment from the Centers for Medicare & Medicaid Services?
The Diane M. Licht was assigned its 1558432682 on 2006-11-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Diane M. Licht most recently updated?
The details pertaining to the Diane M. Licht, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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