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

Diane Fultz, LCDCII, SWA, QMHS

Individual provider Case Manager/Care Coordinator · NPI 1780197756

Diane Fultz, LCDCII, SWA, QMHS is a Case Manager/Care Coordinator in Mentor, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

7232 Justin Way
Mentor, OH 44060-4881
Phone: (440) 578-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCII.161560 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence W.1300044 (OH)

Record details

NPI number1780197756
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDCII , SWA , QMHS
Sole proprietorYes
NPI enumeratedNovember 13, 2017
Last updated in NPPESOctober 24, 2021
Certification dateOctober 24, 2021

Other providers in Mentor