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

Diane Slack

Individual provider Mental Health Counselor · NPI 1457219065

Diane Slack is a Mental Health Counselor in Liberty, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

4606 Fm 563 Rd
Liberty, TX 77575-9247
Phone: (512) 298-8167
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 76170 (TX)

Record details

NPI number1457219065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address3918 E Highway 90, Liberty, TX 77575-8854