Provider Demographics
NPI:1255166377
Name:AMY DIX LCSW, PLLC
Entity type:Organization
Organization Name:AMY DIX LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-417-4226
Mailing Address - Street 1:70 WOODFIN PL STE 409
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2441
Mailing Address - Country:US
Mailing Address - Phone:828-417-4226
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 409
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2441
Practice Address - Country:US
Practice Address - Phone:828-417-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health