MEDICARE: DIANE R MENTCH 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	PC009927	PA
2	101YP2500X	Professional Counselor	PC009927	PA

General Provider Information

NPI Number	:	1982290250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE R MENTCH LPC

Provider Business Mailing Address
First Line	:	52 E LACOCK ST
Second Line	:
City	:	SANDY LAKE
State	:	PA
Zip	:	16145-3624
Country	:	US
Telephone Number	:	724-456-9807
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 E LACOCK ST
Second Line	:
City	:	SANDY LAKE
State	:	PA
Zip	:	16145-3624
Country	:	US
Telephone Number	:	724-456-9807
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	04/06/2026

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Directions to “ DIANE R MENTCH LPC” Practice Location

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