Provider Demographics
NPI:1487313391
Name:DIAMOND, DEANNA L (LPC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:L
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 JEANETTA ST APT 1801
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4074
Mailing Address - Country:US
Mailing Address - Phone:832-752-1335
Mailing Address - Fax:
Practice Address - Street 1:7155 OLD KATY RD STE N244
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2257
Practice Address - Country:US
Practice Address - Phone:832-831-8379
Practice Address - Fax:832-831-8388
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80042101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health