Provider Demographics
NPI:1417276221
Name:NIX, ALICIA L (BS)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:L
Last Name:NIX
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 INVERNESS DR W
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5095
Mailing Address - Country:US
Mailing Address - Phone:720-210-7607
Mailing Address - Fax:
Practice Address - Street 1:1646 ELMIRA STREET
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:COLORADO
Practice Address - Zip Code:80010
Practice Address - Country:UM
Practice Address - Phone:303-617-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health