Provider Demographics
NPI:1437641859
Name:HIX, CAROLYN (LMHC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:HIX
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:3425 BAYSIDE LAKES BLVD SE STE 103-1184
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-6867
Mailing Address - Country:US
Mailing Address - Phone:321-325-6935
Mailing Address - Fax:321-325-6840
Practice Address - Street 1:3425 BAYSIDE LAKES BLVD SE STE 103-1184
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-6867
Practice Address - Country:US
Practice Address - Phone:321-325-6935
Practice Address - Fax:321-325-6840
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168607101YP2500X
FLMH22604101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional