MEDICARE: TRAVIS DIXON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	A22125	NC
2	106S00000X	Behavior Technician
3	101YP2500X	Professional Counselor	A22125	NC

General Provider Information

NPI Number	:	1063188068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS DIXON

Provider Business Mailing Address
First Line	:	6134 WAVERLY LYNN LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-7155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6134 WAVERLY LYNN LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-7155
Country	:	US
Telephone Number	:	704-293-2480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	01/20/2026

Similar Medicare Providers

1861158099 — PAMELA HANDON
Practice Location Address:

2800 HEATHSTEAD PL APT H
CHARLOTTE, NC
28210-7155

Practice Phone: 202-213-3292
Practice Fax:

1134887995 — THE WELLNESS SPECTRUM
Practice Location Address:

2800 HEATHSTEAD PL APT H
CHARLOTTE, NC
28210-7155

Practice Phone: 202-213-3292
Practice Fax:

1740274869 — DR. MANDANA FARHADIEH MORALES MD, PC
Practice Location Address:

6401 STARGAZE LN STE 106
CHARLOTTE, NC
28269-0802

Practice Phone: 704-591-7196
Practice Fax: 704-464-1818

1851062012 — EBONY JOY COOKE PA
Practice Location Address:

10616 METROMONT PKWY STE 210
CHARLOTTE, NC
28269-7670

Practice Phone: 704-774-6569
Practice Fax: 855-308-2340

1194683821 — NIKI MCDONALD
Practice Location Address:

3128 PASSOUR RIDGE LN
CHARLOTTE, NC
28269-6140

Practice Phone: 980-230-8845
Practice Fax:

1043178783 — TOUCH OF COMPASSION HOME HEALTH
Practice Location Address:

3128 PASSOUR RIDGE LN
CHARLOTTE, NC
28269-6140

Practice Phone: 980-230-8845
Practice Fax:

Directions to “ TRAVIS DIXON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.