Healthcare Provider Details

I. General information

NPI: 1770726663
Provider Name (Legal Business Name): DIANA LYNN SIMPSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DIANA LYNN GALMISH LPC

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3424 CHICAGO DR STE 205
HUDSONVILLE MI
49426-1411
US

IV. Provider business mailing address

5439 N SILVERSTONE DR NE
COMSTOCK PARK MI
49321-9632
US

V. Phone/Fax

Practice location:
  • Phone: 616-426-9034
  • Fax: 616-404-4103
Mailing address:
  • Phone: 616-648-1566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401011292
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: