Healthcare Provider Details

I. General information

NPI: 1538702626
Provider Name (Legal Business Name): BRITNEY LORENE DIXON MS, LCMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITNEY LORENE LUTON MS, LCMHC, LPC

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 E MAIN ST # C-2
ELIZABETH CITY NC
27909-4492
US

IV. Provider business mailing address

606 E MAIN ST STE C-2
ELIZABETH CITY NC
27909-4492
US

V. Phone/Fax

Practice location:
  • Phone: 252-371-2655
  • Fax: 252-732-3863
Mailing address:
  • Phone: 252-371-2655
  • Fax: 252-732-3863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15259
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701011824
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: