Healthcare Provider Details

I. General information

NPI: 1720919103
Provider Name (Legal Business Name): DIANE FAHY COUNSELING INC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5075 MT HIGHWAY 35
KALISPELL MT
59901-8283
US

IV. Provider business mailing address

5075 MT HIGHWAY 35
KALISPELL MT
59901-8283
US

V. Phone/Fax

Practice location:
  • Phone: 919-247-4703
  • Fax:
Mailing address:
  • Phone: 919-247-4703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DIANE K FAHY
Title or Position: PRACTITIONER
Credential: M.ED, LCMHC, NBCC
Phone: 919-247-4703