Provider Demographics
NPI:1164727228
Name:DIXON, YVETTE M (LMHC)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:M
Last Name:DIXON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34650 US HIGHWAY 19 N STE 206
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-2157
Mailing Address - Country:US
Mailing Address - Phone:727-565-8468
Mailing Address - Fax:
Practice Address - Street 1:34650 US HIGHWAY 19 N STE 206
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2157
Practice Address - Country:US
Practice Address - Phone:727-565-8468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH11493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health