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SANDRA DIETLE LPC
NPI 1992086151
Counselor - Professional in Southaven, MS

Active since September 01, 2011
8830 CENTRE ST STE 5, SOUTHAVEN, MS 38671(662) 253-8324(662) 253-8336 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 7, 2017 (2 updates tracked since 2017).

About Sandra Dietle Lpc NPPES

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

SANDRA DIETLE LPC (NPI 1992086151) is an individual professional provider in Southaven, Mississippi, licensed in Mississippi (2076) and active in the NPI registry since September 2011. She maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1992086151
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSANDRA DIETLECredential: LPC
Location Address8830 CENTRE ST STE 5Southaven, MS 38671-2609
Mailing Address8830 Centre St Ste 5Southaven, MS 38671-2609 · (662) 253-8324 · Fax (662) 253-8336
Phone(662) 253-8324
Fax(662) 253-8336
Sole ProprietorNo
Enumeration DateSeptember 1, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1992086151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 2076
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2076 (MS)
8830 CENTRE ST STE 5, Southaven, MS 38671
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Secondary Practice Location 1

Location 14253 N Crossover RdFayetteville, AR 72703-4593 · Phone (479) 521-5731 · Fax (479) 443-2519

Other Providers at the Same Location NPPES 2

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

SOUTHLAND RECOVERY, PLLC
Preventive Medicine (Addiction Medicine)
8830 CENTRE ST STE 5
SOUTHAVEN, MS 38671
Desoto County (662) 510-2523
JOSHUA KAPLAN CADC II (COUNSELOR)
Counselor (Addiction (Substance Use Disorder))
8830 CENTRE ST STE 5
SOUTHAVEN, MS 38671
Desoto County (662) 510-2523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Dietle's NPI number?

The NPI number for Sandra Dietle is 1992086151. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Sandra Dietle located?

Sandra Dietle practices at 8830 Centre St Ste 5, Southaven, MS 38671. The listed phone number is (662) 253-8324.

What is Sandra Dietle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Sandra Dietle was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.