| Mk Dixon Counseling And Consulting | |
|
105 Industrial Parkway Lafayette LA 70508 | |
| (337) 501-1128 | |
| Not Available |
| Full Name | Mk Dixon Counseling And Consulting |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 Industrial Parkway, Lafayette, Louisiana |
| Authorized Official Name and Position | Kizzy Dixon (PROGRAM MANAGER) |
| Authorized Official Contact | 3375340254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mk Dixon Counseling And Consulting 105 Industrial Pkwy Lafayette LA 70508-3207 Ph: () - | Mk Dixon Counseling And Consulting 105 Industrial Parkway Lafayette LA 70508 Ph: (337) 501-1128 |
| NPI Number | 1306365457 |
|---|---|
| Provider Enumeration Date | 09/10/2017 |
| Last Update Date | 01/07/2020 |
| Certification Date | 01/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306365457 | NPI | - | NPPES |
| 2461389 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Louisiana) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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