MEDICARE: MS. DIANNA KAY CARNAGEY LPC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1972886315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANNA KAY CARNAGEY LPC

Provider Business Mailing Address
First Line	:	3000 UNITED FOUNDERS BLVD STE 142
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4342
Country	:	US
Telephone Number	:	405-347-7772
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 UNITED FOUNDERS BLVD STE 142
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4342
Country	:	US
Telephone Number	:	405-347-7772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	12/16/2025

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