Provider Demographics
NPI:1235544636
Name:JOELLE NIXON, LPC
Entity Type:Organization
Organization Name:JOELLE NIXON, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JOELLE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:337-349-1938
Mailing Address - Street 1:404 PERE MEGRET ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4634
Mailing Address - Country:US
Mailing Address - Phone:337-349-1938
Mailing Address - Fax:
Practice Address - Street 1:404 PERE MEGRET ST
Practice Address - Street 2:SUITE F
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4634
Practice Address - Country:US
Practice Address - Phone:337-349-1938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4810101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4810OtherSTATE OF LOUISIANA BOARD OF EXAMINERS