BETHANY L NIXON


Address: 4043 Fairfax St, Augusta, GA 30907-2190
Phone: 7063994579

BETHANY L NIXON (NPI# 1508429614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508429614
Entity Type Individual
Full Name BETHANY L NIXON
Credential LPC
Practice Address 4043 Fairfax St
Augusta
GA 30907-2190
Practice Telephone 7063994579
Mailing Telephone 7063994579
Enumeration Date 2019-04-16
Last Update Date 2019-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor LPC010879 GA Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LPC010879 GA Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
LPC010879 GA Behavioral Health & Social Service Providers

Office Location

Street Address 4043 FAIRFAX ST
City AUGUSTA
State GA
Zip Code 30907-2190

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NPI Name Taxonomy Address Enumeration
1275158156 Mary Cameron Elizabeth Robert Dentist 3226 Washington Rd, Augusta, GA 30907 2020-06-16
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1124594718 Kimberly A Delaigle Nurse Practitioner 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 2018-10-22
1366960825 Catherine Lane Hopkins Speech-Language Pathologist 435 Cambridge Circle, Martinez, GA 30907 2017-09-05
1518485143 Challenging Perspectives Clinic/Center 3710 Executive Center Dr Suite B, Martinez, GA 30907 2017-09-04
1386168490 Carlene Elizabeth Lemcke Speech-Language Pathologist 3580 Riverwatch Parkway, Martinez, GA 30907 2017-07-31
1619499357 Orchid Archer Registered Nurse 702 Riverbend Drive, Martinez, GA 30907 2017-07-14
1437679339 Mediator Senior Care, LLC In Home Supportive Care 4143 Columbia Rd., Suite B, Martinez, GA 30907 2017-06-21
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003431057 Whitney O'connor Counselor 1232 Hickman Rd, Augusta, GA 30904-4733 2020-06-15
1093339186 Kari Viola-brooke Counselor 2707 Downing St, Augusta, GA 30909-3734 2020-06-03
1477182541 Wanda Joy Roberts Counselor 250 Milledge Rd, Augusta, GA 30904-3577 2020-04-02
1376182527 Colisha Marie Amos Counselor 1761 Kissingbower Rd, Augusta, GA 30904-6615 2020-01-04
1730746009 Kimberly Bridi Counselor 3351 Wrightsboro Rd Ste 301, Augusta, GA 30909-2838 2019-05-22
1669934469 Julian Bogan Counselor 1135 Greg Hwy., Augusta, SC 29801 2019-04-02
1396226445 Suzanah Richelle Schoen Counselor 2821 South Brookside Drive, Augusta, KS 67010-2433 2018-08-27
1891203345 Community Service Board of East Central Georgia Counselor 1253 Greene St, Augusta, GA 30901-2127 2018-01-18
1851826267 Denise Finney Counselor 2820 Hillcreek Dr, Suite A, Augusta, GA 30909-5628 2017-04-23
1043757818 Marc Story Counselor 315 W 4th St Apt 6, Augusta, KY 41002-1089 2017-01-31
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Competitor

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City AUGUSTA
Zip Code 30907

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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