Healthcare Provider Details

I. General information

NPI: 1841950938
Provider Name (Legal Business Name): DIANE M TRUAX LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2021
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CAROLINE DR
ROCHESTER NY
14624-3201
US

IV. Provider business mailing address

20 CAROLINE DR
ROCHESTER NY
14624-3201
US

V. Phone/Fax

Practice location:
  • Phone: 585-755-2531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number018426
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: