Healthcare Provider Details

I. General information

NPI: 1831568690
Provider Name (Legal Business Name): DIANA W. WARE MS, PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6835 BAYOU PAUL RD
SAINT GABRIEL LA
70776-5608
US

IV. Provider business mailing address

30826 LINDER RD
DENHAM SPRINGS LA
70726-8507
US

V. Phone/Fax

Practice location:
  • Phone: 225-931-2395
  • Fax:
Mailing address:
  • Phone: 225-665-7878
  • Fax: 225-665-7856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: