Provider Demographics
NPI:1578005054
Name:GEBERT, DIXIE (LPC)
Entity Type:Individual
Prefix:
First Name:DIXIE
Middle Name:
Last Name:GEBERT
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 1:900 CLUB DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4909
Mailing Address - Country:US
Mailing Address - Phone:614-899-2838
Mailing Address - Fax:614-899-2872
Practice Address - Street 1:900 CLUB DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4909
Practice Address - Country:US
Practice Address - Phone:614-899-2838
Practice Address - Fax:614-899-2872
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0700412101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional