Healthcare Provider Details

I. General information

NPI: 1265560080
Provider Name (Legal Business Name): DIANA BERNICE SWEETEN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 04/26/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 SE CENTRAL PKWY
STUART FL
34994-3904
US

IV. Provider business mailing address

5600 N FLAGLER DR APT 306
WEST PALM BEACH FL
33407-2647
US

V. Phone/Fax

Practice location:
  • Phone: 772-210-4331
  • Fax: 772-510-5780
Mailing address:
  • Phone: 561-221-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25120
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: