Provider Demographics
NPI:1275824302
Name:HIX, RASHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:RASHELLE
Middle Name:
Last Name:HIX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RASHELLE
Other - Middle Name:
Other - Last Name:HIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW LLC
Mailing Address - Street 1:1508 BAY RD APT 125
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7390 NW 5TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1610
Practice Address - Country:US
Practice Address - Phone:954-583-8831
Practice Address - Fax:954-583-9575
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-24
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 99581041C0700X
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No251S00000XAgenciesCommunity/Behavioral Health