Provider Demographics
NPI:1427159789
Name:PELA, DIANNE MARIE (MAPC, LPC)
Entity type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:MARIE
Last Name:PELA
Suffix:
Gender:F
Credentials:MAPC, LPC
Other - Prefix:MRS
Other - First Name:DIANNE
Other - Middle Name:MARIE
Other - Last Name:SILVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13819 N 42ND DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-5392
Mailing Address - Country:US
Mailing Address - Phone:602-866-1558
Mailing Address - Fax:602-866-1558
Practice Address - Street 1:2400 E ARIZONA BILTMORE CIR
Practice Address - Street 2:BLDG. 4, STE. 2430
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-2107
Practice Address - Country:US
Practice Address - Phone:480-266-9546
Practice Address - Fax:602-381-9907
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC11996101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health