Healthcare Provider Details

I. General information

NPI: 1144152091
Provider Name (Legal Business Name): LASHONDA DIXON-TRUESDELL LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 SUMMERGLOW CT
CLAYTON NC
27527-9268
US

IV. Provider business mailing address

54 SUMMERGLOW CT
CLAYTON NC
27527-9268
US

V. Phone/Fax

Practice location:
  • Phone: 252-531-6326
  • Fax:
Mailing address:
  • Phone: 252-531-6326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number20972A
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: