MS. DIANE SPADE MA., LPC
NPI 1073648143
Counselor - Mental Health in Menominee, MI

Active since February 22, 2007
908 2ND ST, MENOMINEE, MI 49858(906) 864-9830(906) 864-9831 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Diane Spade Ma., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DIANE SPADE MA., LPC (NPI 1073648143) is an individual mental health provider in Menominee, Michigan, licensed in Michigan (6401010032) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1073648143
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DIANE SPADECredential: MA., LPC
Location Address908 2ND STMenominee, MI 49858-3245
Mailing Address908 2nd StMenominee, MI 49858-3245 · (906) 864-9830 · Fax (906) 864-9831
Fax(906) 864-9831
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateFebruary 12, 2015
NPI 1073648143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401010032
908 2ND ST, Menominee, MI 49858

Other Identifiers 2

Other382143740MI · Tax Id Number
Medicaid730195MI

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
908 2ND ST
MENOMINEE, MI 49858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073648143, enumerated as an "individual" on February 22, 2007.

The provider is located at 908 2ND ST MENOMINEE, MI 49858 and the phone number is (906) 864-9830.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.