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Tamitha R Dixon

Counselor

Behavioral Health & Social Service Providers

526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013

PECOS Enrollment

This provider is enrolled in PECOS as TAMITHA DIXON.

Based on the most recent information from CMS, provider Tamitha R Dixon is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1780965251
Provider Type
Individual
Full Name
Dixon, Tamitha R
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/29/2011
Last Updated
9/14/2023

Contact Information

Practice Location

526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013

(725) 257-9639

Unlisted Fax

Mailing Location

64 Playa Del Coco Ct Ste 158, Henderson, NV 89074-8105

(702) 544-3672

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer
Code 225400000X	Description Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Tamitha R Dixon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Poeller, Tanya

Lara, Raquel

Saulter, Patricia Ann

Miller, Theodora Marie

Mcdonnell, Bill

Smith, Elizabeth J.

Driscoll, Aubrie Anne

Reed-Roy, Pammie Dentia

Thomas, Stephanie

Crowley, John Bentley