Provider Demographics
NPI:1760363394
Name:BURNETTE, DIANE BEAUGEZ (PCMHT)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:BEAUGEZ
Last Name:BURNETTE
Suffix:
Gender:F
Credentials:PCMHT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:102 PECAN PARK DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-5517
Mailing Address - Country:US
Mailing Address - Phone:228-207-1248
Mailing Address - Fax:228-388-6182
Practice Address - Street 1:102 PECAN PARK DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5517
Practice Address - Country:US
Practice Address - Phone:228-207-1248
Practice Address - Fax:228-388-6182
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)