Provider Demographics
NPI:1104612787
Name:NIXON, MONIQUE (MS ALC)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:NIXON
Suffix:
Gender:
Credentials:MS ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1366
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-1366
Mailing Address - Country:US
Mailing Address - Phone:256-282-9265
Mailing Address - Fax:
Practice Address - Street 1:319 AL-75
Practice Address - Street 2:SUITE B
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35951
Practice Address - Country:US
Practice Address - Phone:256-660-0796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05249101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional