DIANNE GROVE LPC
NPI 1972133718
Counselor - Mental Health in Bogart, GA
Active since January 21, 2020
About Dianne Grove Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANNE GROVE LPC (NPI 1972133718) is an individual mental health provider in Bogart, Georgia, licensed in Georgia (002262) and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1972133718
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIANNE GROVECredential: LPC
Location Address1522 HIGHWAY 330Bogart, GA 30622-2908
Mailing Address1522 Highway 330Bogart, GA 30622-2908 · (404) 295-3561
Phone(404) 295-3561
Sole ProprietorYes
Enumeration DateJanuary 21, 2020
✔ NPI 1972133718 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 GA · 002262
1522 HIGHWAY 330, Bogart, GA 30622
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972133718, enumerated as an "individual" on January 21, 2020.
The provider is located at 1522 HIGHWAY 330 BOGART, GA 30622 and the phone number is (404) 295-3561.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
