Shaw, Diana Rachel

Shaw, Diana Rachel is an individual health care provider with primary practice located at 357 Wekiva Springs Rd , Longwood FL 32779-3607. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shaw, Diana Rachel can be contacted via phone (407) 708-9012.

Contact Information

Primary practice address
357 Wekiva Springs Rd Longwood FL 32779-3607
Phone: (407) 708-9012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH18242 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH20309 Florida
Behavioral Health & Social Service Providers / School 101YS0200X IMH18242 Florida
Behavioral Health & Social Service Providers / School 101YS0200X MH20309 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X IMH18242 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X IMH18242 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH20309 Florida

Profile Details

NPI number 1417594151
LBN Legal business name Shaw, Diana Rachel
Credentials ED.S., LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2019
Last updated Mar 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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