Valissa Ann Dixon, LPC
Individual provider Active NPI Case Manager/Care Coordinator · Lithia Springs, GA
NPI 1497910475 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1497910475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 6852 Florence Drive
Lithia Springs, GA 30122 - Phone
- (404) 713-5896
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| LPC009091 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- valissadixon@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Professional Counselor | 101YP2500X | LPC009091 | GA |
Addresses
Primary practice location
6852 Florence Drive
Lithia Springs, GA 30122
Mailing address
6852 Florence Drive
Lithia Springs, GA 30122
Phone (404) 713-5896
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- Maria Kriselda Grospe Domingo
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All providers in Lithia Springs, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2016. 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.