Dianna Blevins, LCDC
Counselor, Addiction (Substance Use Disorder) in Dallas, TX. Individual provider (NPI-1).
NPI number1063143477
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1063143477
- Entity type
- Individual (NPI-1)
- Name
- Dianna Blevins
- Credential
- LCDC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2022
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 16171 | TX | Yes |
| 374J00000X | Doula | – | – |
Practice location
8035 E Rl Thrtn Fwy # 328Dallas, TX 75228-7018
Phone 972-748-8973
Mailing address
8035 E Rl Thrtn FwyDallas, TX 75228-7018
Phone 972-748-8973
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