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General NPI Number Information
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NPI Number | 1164727228
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Entity Type | Individual
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Provider Name | YVETTE M DIXON LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 5225 TECH DATA DR STE 200
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City | CLEARWATER
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State | FL
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Zip | 33760-3133
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Country | US
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Telephone | 727-614-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 N HIGHLAND AVE
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City | CLEARWATER
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State | FL
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Zip | 33755-2719
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Country | US
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Telephone | 727-614-6118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11493
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License Number State | FL
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