Healthcare Provider Details

I. General information

NPI: 1710670963
Provider Name (Legal Business Name): DIANA MARIA-NOELLE MOHANANI LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANA MARIA-NOELLE MEJIA

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST STE 300
BURBANK CA
91505-4556
US

IV. Provider business mailing address

15339 SATICOY ST
VAN NUYS CA
91406-3345
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax:
Mailing address:
  • Phone: 818-267-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number22986
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22986
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: