Lauren Dixon | Phoenix, AZ • PECOS Search

Lauren Dixon

Counselor

Behavioral Health & Social Service Providers

4545 E Shea Blvd Ste 100, Phoenix, AZ 85028-3085

PECOS Enrollment

Based on the most recent information from CMS, provider Lauren Dixon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1750964821
Provider Type
Individual
Full Name
Dixon, Lauren
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/5/2021
Last Updated
5/5/2021

Contact Information

Practice Location

4545 E Shea Blvd Ste 100, Phoenix, AZ 85028-3085

Unlisted Fax

Mailing Location

18250 N 32nd St Unit 1049, Phoenix, AZ 85032-1222

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LPC-18752 Arizona