| Gillian A. Dixon, Lmsw, Pllc | |
|
999 Haynes St Suite 235 Birmingham MI 48009-6712 | |
| (248) 838-8339 | |
| Not Available |
| Full Name | Gillian A. Dixon, Lmsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 999 Haynes St, Birmingham, Michigan |
| Authorized Official Name and Position | Gillian Alison Dixon (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 2488388339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillian A. Dixon, Lmsw, Pllc 1193 Elliott Ave Madison Heights MI 48071-2674 Ph: (248) 838-8339 | Gillian A. Dixon, Lmsw, Pllc 999 Haynes St Suite 235 Birmingham MI 48009-6712 Ph: (248) 838-8339 |
| NPI Number | 1912458894 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 02/03/2017 |
| Medicare PECOS PAC ID | 6204111040 |
|---|---|
| Medicare Enrollment ID | O20170317002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912458894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801081849 (Michigan) | Primary |
| Provider Name | Gillian Alison Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457592826 PECOS PAC ID: 5698922029 Enrollment ID: I20170317002136 |
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