Healthcare Provider Details

I. General information

NPI: 1700861077
Provider Name (Legal Business Name): JOAN M BELIAN-DIESCHBOURG LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 MARBLE NE
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

708 ADAMS ST NE
ALBUQUERQUE NM
87110-6224
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-9885
  • Fax:
Mailing address:
  • Phone: 505-266-8182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0822
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR14387
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: