MEDICARE: MISS SARAH ELIZABETH DIX LPC

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	0701011026	VA

General Provider Information

NPI Number	:	1538814918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SARAH ELIZABETH DIX LPC

Provider Business Mailing Address
First Line	:	609 N 22ND ST APT A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-7207
Country	:	US
Telephone Number	:	540-312-4940
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 N PARHAM RD STE 300
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4414
Country	:	US
Telephone Number	:	804-261-2090
Fax Number	:

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

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	02/15/2022

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