Individual provider · Type 1 NPI

Diana Rachel Shaw, ED.S., LMHC

Mental Health Counselor · Longwood, FL

NPI number 1417594151 Active

Practice location

357 Wekiva Springs Rd
Longwood, FL 32779-3607

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XIMH18242 (FL)
Professional Counselor 101YP2500XMH20309 (FL)
School Counselor 101YS0200XIMH18242 (FL)
School Counselor 101YS0200XMH20309 (FL)
Professional Counselor 101YP2500XIMH18242 (FL)
Student in an Organized Health Care Education/Training Program 390200000XIMH18242 (FL)
Mental Health Counselor Primary 101YM0800XMH20309 (FL)

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About NPI 1417594151

Diana Rachel Shaw, ED.S., LMHC's National Provider Identifier is 1417594151, issued on Dec 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longwood, FL. The record was last updated on Mar 2, 2022.