Chyra Dixon, CCSS
Individual provider Active NPI Counselor · Hattiesburg, MS
NPI 1144744327 · NPPES record last updated Jul 31, 2017
Key facts
- NPI
- 1144744327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 1859 (MS)
- Practice address
- 103 S 19TH Ave
Hattiesburg, MS 39401-6171 - Phone
- (601) 544-4641
- NPI assigned
- Jul 31, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1859 | MS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1859 | MS | Yes |
Addresses
Primary practice location
103 S 19TH Ave
Hattiesburg, MS 39401-6171
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.