Provider Demographics
NPI:1265478515
Name:HIX, MICHELLE ANDREE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ANDREE
Last Name:HIX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 S HUSBAND ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-3533
Mailing Address - Country:US
Mailing Address - Phone:405-714-8702
Mailing Address - Fax:
Practice Address - Street 1:127 S HUSBAND ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-3533
Practice Address - Country:US
Practice Address - Phone:405-714-8702
Practice Address - Fax:405-714-8702
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional