Healthcare Provider Details

I. General information

NPI: 1003728411
Provider Name (Legal Business Name): DIAMOND HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2646 S LOOP W STE 375
HOUSTON TX
77054-2871
US

IV. Provider business mailing address

2646 S LOOP W STE 375
HOUSTON TX
77054-2871
US

V. Phone/Fax

Practice location:
  • Phone: 301-531-0229
  • Fax: 703-935-6111
Mailing address:
  • Phone: 301-531-0229
  • Fax: 703-935-6111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHANNON MCDUFFIE
Title or Position: CEO/OWNER
Credential: PHD
Phone: 301-531-0229