Healthcare Provider Details

I. General information

NPI: 1588594428
Provider Name (Legal Business Name): HEATHER DIXON MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1761 RUNNING DEER DR
AUBURN PA
17922-9333
US

IV. Provider business mailing address

1761 RUNNING DEER DR
AUBURN PA
17922-9333
US

V. Phone/Fax

Practice location:
  • Phone: 570-640-5292
  • Fax:
Mailing address:
  • Phone: 570-640-5292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPCO19420
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: