DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. DIANE MARIE PALACIOS LPC , LISAC

MEDICARE: MRS. DIANE MARIE PALACIOS LPC , LISAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC-15559AZ
2101YM0800XMental Health Counselor
3101YA0400XAddiction (Substance Use Disorder) CounselorLISAC-15026AZ

General Provider Information

NPI Number : 1518107192
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE MARIE PALACIOS LPC , LISAC
Provider Business Mailing Address
First Line : PO BOX 90336
Second Line :
City : PHOENIX
State : AZ
Zip : 85066-0336
Country : US
Telephone Number : 602-279-7655
Fax Number :
Provider Business Practice Location Address
First Line : 3001 N 33RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-5202
Country : US
Telephone Number : 602-353-0703
Fax Number : 602-353-0715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2009
Last Update Date : 05/17/2024

Similar Medicare Providers

1649250986 — CYNTHIA KAY TOBIN PMHNP, ANP
Practice Location Address:
3001 N 33RD AVE
PHOENIX, AZ
85017-5202
Practice Phone: 602-353-0703
Practice Fax: 602-353-0715
1700841194 — DR. RUPA CHUNDU MD
Practice Location Address:
3001 N 33RD AVE
PHOENIX, AZ
85017-5202
Practice Phone: 602-353-0703
Practice Fax: 602-353-0715
1467520577 — JEWISH FAMILY & CHILDREN'S SERVICE
Practice Location Address:
3001 N 33RD AVE
PHOENIX, AZ
85017-5202
Practice Phone: 602-353-0703
Practice Fax: 602-353-0715
1649580945 — MRS. NANCY A SYMS PMHNP-BC
Practice Location Address:
3001 N 33RD AVE
PHOENIX, AZ
85017-5202
Practice Phone: 602-353-0703
Practice Fax:
1316353832 — GENOA HEALTHCARE LLC
Practice Location Address:
3001 N 33RD AVE , ROOM 210
PHOENIX, AZ
85017-5202
Practice Phone: 480-422-3283
Practice Fax: 480-304-3210
1679975379 — SHARON SY PMHNP-BC
Practice Location Address:
3001 N 33RD AVE
PHOENIX, AZ
85017-5202
Practice Phone: 602-353-0703
Practice Fax:

Directions to “ MRS. DIANE MARIE PALACIOS LPC , LISAC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.