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

Diane Park MD LLC

Organization Mental Health Counselor · NPI 1972847903

Diane Park MD LLC provides Mental Health Counselor services 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 Not confirmed with CMS for 13 years — call before visiting
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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