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BYRON DIXON LLC NPI 1467973586


NPI Information

NPI: 1467973586
Provider Name: BYRON DIXON LLC

Doing Business As: BYRON DIXON NCC, LPC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1219 4TH ST S
NAMPA, ID
ZIP 83651
Phone: (208) 371-4587
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BYRON DIXON LLC is a mental health counselor in Nampa, ID. BYRON DIXON LLC NPI is 1467973586. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Byron Dixon Ncc, Lpc.

The provider's business location address is:

1219 4TH ST S
NAMPA, ID
ZIP 83651-222
Phone: (208) 371-4587
Fax: (208) 463-3303

The provider's authorized official is Byron Nicholas Dixon .
The authorized official title is Owner and has the following contact phone number (208) 371-4587.

The enumeration date for this NPI number is 6/28/2017 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLPC-6465IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11043664295OTHERIDAHOREGENCE BLUE SHIELD OF IDAHO

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: 11/14/2023

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