MRS. DIANE KOPP LPC
NPI 1023167590
Counselor - Professional in Benton Harbor, MI
Active since January 10, 2007
About Mrs. Diane Kopp Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DIANE KOPP LPC (NPI 1023167590) is an individual professional provider in Benton Harbor, Michigan, licensed in Michigan (6401005813) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1023167590
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DIANE KOPPCredential: LPC
Location Address1850 COLFAX AVEBenton Harbor, MI 49022-6753
Mailing Address1850 Colfax AveBenton Harbor, MI 49022-6753 · (269) 926-6199 · Fax (269) 926-6780
Phone(269) 926-6199
Fax(269) 926-6780
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023167590 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401005813
1850 COLFAX AVE, Benton Harbor, MI 49022
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
1850 COLFAX AVE
BENTON HARBOR, MI 49022
BENTON HARBOR, MI 49022
Social Worker (Clinical)
1850 COLFAX AVE
BENTON HARBOR, MI 49022
BENTON HARBOR, MI 49022
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023167590, enumerated as an "individual" on January 10, 2007.
The provider is located at 1850 COLFAX AVE BENTON HARBOR, MI 49022 and the phone number is (269) 926-6199.
Counselor with taxonomy code 101YP2500X and a focus in Professional.