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NPI Code Detail

MEDICARE: MRS. TAMITHA R DIXON

MEDICARE: MRS. TAMITHA R 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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3106H00000XMarriage & Family Therapist
4171M00000XCase Manager/Care Coordinator
5225400000XRehabilitation Practitioner
6101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1780965251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMITHA R DIXON
Provider Business Mailing Address
First Line : 64 PLAYA DEL COCO CT STE 158
Second Line :
City : HENDERSON
State : NV
Zip : 89074-8105
Country : US
Telephone Number : 702-544-3672
Fax Number :
Provider Business Practice Location Address
First Line : 526 S TONOPAH DR STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4013
Country : US
Telephone Number : 725-257-9639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2011
Last Update Date : 09/14/2023

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Directions to “ MRS. TAMITHA R DIXON ” Practice Location

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