Mrs Gina Lynn Dixon, MED,LPC | |
1008 24th Ave Nw, Norman, OK 73069-6369 | |
(405) 919-1817 | |
Not Available |
Full Name | Mrs Gina Lynn Dixon |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1008 24th Ave Nw, Norman, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356677934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 5274 (Oklahoma) | Primary |
Entity Name | Restore Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083163083 PECOS PAC ID: 8628512647 Enrollment ID: O20240702000951 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gina Lynn Dixon, MED,LPC 4515 Chukkar Ct, Norman, OK 73072-3121 Ph: (405) 919-1817 | Mrs Gina Lynn Dixon, MED,LPC 1008 24th Ave Nw, Norman, OK 73069-6369 Ph: (405) 919-1817 |
Dr. Marshall Andrew Glenn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3613 Gullane Dr, Norman, OK 73072 Phone: 405-249-4130 | |
Mrs. Chyla T Hall, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw Ste E, Norman, OK 73069 Phone: 405-329-3349 Fax: 405-329-6617 | |
Renee Thornton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw, Ste E, Norman, OK 73069 Phone: 405-329-8167 | |
Donita K Goodin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 E Tecumseh Rd, Norman, OK 73026 Phone: 405-464-9536 Fax: 405-321-3448 | |
Ms. Kimberlee Dawn Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2416 W Brooks St Apt 1, Norman, OK 73069 Phone: 405-982-8056 | |
Ashley Sellers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Ferrill St, Norman, OK 73071 Phone: 580-583-3234 | |
Loretta Gail Post, CPRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Norman, OK 73071 Phone: 405-307-4836 |