Healthcare Provider Details

I. General information

NPI: 1255166377
Provider Name (Legal Business Name): AMY DIX LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 WOODFIN PL STE 409
ASHEVILLE NC
28801-2441
US

IV. Provider business mailing address

70 WOODFIN PL STE 409
ASHEVILLE NC
28801-2441
US

V. Phone/Fax

Practice location:
  • Phone: 828-417-4226
  • Fax:
Mailing address:
  • Phone: 828-417-4226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY DIX
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 828-417-4226