MEDICARE: MRS. DIANE ELAINE MASULLO MS, LPC, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	63673	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	63673	OTHER	TX	LPC STATE LICENSE TEXAS

General Provider Information

NPI Number	:	1568695195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE ELAINE MASULLO MS, LPC, LMFT

Provider Business Mailing Address
First Line	:	627 PASEO ROBLES
Second Line	:
City	:	LAMPASAS
State	:	TX
Zip	:	76550-7600
Country	:	US
Telephone Number	:	254-338-6286
Fax Number	:	800-516-3152

Provider Business Practice Location Address
First Line	:	1003 W BUSINESS 190
Second Line	:
City	:	COPPERAS COVE
State	:	TX
Zip	:	76522-3886
Country	:	US
Telephone Number	:	254-547-3040
Fax Number	:	800-516-3152

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	10/05/2021

Similar Medicare Providers

1104812262 — HOPE ANN MURRAY DPM
Practice Location Address:

1007 W HIGHWAY 190 , STE B
COPPERAS COVE, TX
76522-3886

Practice Phone: 254-542-8637
Practice Fax: 254-542-3338

1255405171 — DR. DANIEL RAY MOSS D.D.S.
Practice Location Address:

1005 W HIGHWAY 190
COPPERAS COVE, TX
76522-3886

Practice Phone: 254-542-5750
Practice Fax: 254-542-4832

1083732838 — ELDERPSYCH CARE PLLC
Practice Location Address:

1007 W. HIGHWAY 190 , STE B
COPPERAS COVE, TX
76522-3886

Practice Phone: 254-542-7200
Practice Fax: 866-602-0977

1972709301 — STEPHNE KAREN HAILE LPC
Practice Location Address:

1003 W HIGHWAY 190
COPPERAS COVE, TX
76522-3886

Practice Phone: 254-547-3040
Practice Fax:

1396035713 — MURRAY AND ASSOCIATES PODIATRY PA
Practice Location Address:

1007 W HIGHWAY 190 , STE B
COPPERAS COVE, TX
76522-3886

Practice Phone: 254-634-6999
Practice Fax: 254-200-4099

1669893095 — COVE FAMILY HEALTHCARE
Practice Location Address:

1007 W HIGHWAY 190 , STE A
COPPERAS COVE, TX
76522-3886

Practice Phone: 254-542-2440
Practice Fax: 254-518-2237

Directions to “ MRS. DIANE ELAINE MASULLO MS, LPC, LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.