DIXON SOCIAL INTERACTIVE SERVICES INC. NPI 1841411071

NPI Information

NPI: 1841411071
Provider Name: DIXON SOCIAL INTERACTIVE SERVICES, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
313 CLIFTON ST.
GREENVILLE, NC
ZIP 27858
Phone: (252) 353-0100
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DIXON SOCIAL INTERACTIVE SERVICES, INC. is a professional counselor in Greenville, NC. DIXON SOCIAL INTERACTIVE SERVICES, INC. NPI is 1841411071. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

313 CLIFTON ST.
GREENVILLE, NC
ZIP 27858-504
Phone: (252) 353-0100
Fax: (252) 364-8117

The provider's authorized official is Derria Dixon .
The authorized official title is Cfo and has the following contact phone number (252) 258-8946.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 12/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	200100499	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	200100499	NORTH CAROLINA	No
3	101YP2500X	Counselor	Professional	200100499	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6005438	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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