Provider Demographics
NPI:1558117242
Name:DIANA CARBONE LLC
Entity type:Organization
Organization Name:DIANA CARBONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:302-212-9192
Mailing Address - Street 1:32620 HASTINGS DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4869
Mailing Address - Country:US
Mailing Address - Phone:302-212-9192
Mailing Address - Fax:
Practice Address - Street 1:32620 HASTINGS DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4869
Practice Address - Country:US
Practice Address - Phone:302-212-9192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty