Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Park MD LLC

Organization Mental Health Counselor · NPI 1972847903

Diane Park MD LLC is a Mental Health Counselor in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1845 S Dobson Rd Ste 109
Mesa, AZ 85202-5661
Phone: (480) 204-2477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 32107 (AZ)

Record details

NPI number1972847903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Park — Owner · (480) 204-2477
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address1845 S Dobson Rd, Suite 109, Mesa, AZ 85202-5661

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