| Otilia Dixon, LPC | |
|
1521 Warrington Way, Forney, TX 75126-6545 | |
| (469) 643-9656 | |
| Not Available |
| Full Name | Otilia Dixon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1521 Warrington Way, Forney, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619699410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 84846 (Texas) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Otilia Dixon, LPC 1521 Warrington Way, Forney, TX 75126-6545 Ph: (469) 643-9656 | Otilia Dixon, LPC 1521 Warrington Way, Forney, TX 75126-6545 Ph: (469) 643-9656 |
Mercedes Burk, LPC. LMFT Counselor Medicare: Medicare Enrolled Practice Location: 3145 Marble Falls Dr, Forney, TX 75126 Phone: 972-740-7632 | |
Alexus Lewis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 752 Brockwell Bnd, Forney, TX 75126 Phone: 404-548-4410 | |
Tami Lynn Vanmeter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 Marble Falls Dr, Forney, TX 75126 Phone: 214-957-9101 | |
Jennifer Lee Boatright, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2102 Dorsey Dr, Forney, TX 75126 Phone: 692-492-5854 | |
Christi Wright Elkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Kelsey Ct, Forney, TX 75126 Phone: 972-922-1525 | |
Rebecca Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11803 Classic Ln, Forney, TX 75126 Phone: 972-552-5559 | |
Travis Nolan Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2026 Chisolm Trl, Forney, TX 75126 Phone: 972-400-0791 |