Provider Demographics
NPI:1225436496
Name:HOOVER, DIANA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 CROSSBRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:BYRAM
Mailing Address - State:MS
Mailing Address - Zip Code:39272-8716
Mailing Address - Country:US
Mailing Address - Phone:601-985-7058
Mailing Address - Fax:601-439-0433
Practice Address - Street 1:2104 CROSSBRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-8716
Practice Address - Country:US
Practice Address - Phone:601-985-7058
Practice Address - Fax:601-439-0433
Is Sole Proprietor?:No
Enumeration Date:2014-12-19
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MO2702101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health