Provider Demographics
NPI:1194113472
Name:NIX, NONA RAY (LPC)
Entity type:Individual
Prefix:
First Name:NONA
Middle Name:RAY
Last Name:NIX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 N A ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2554
Mailing Address - Country:US
Mailing Address - Phone:432-550-5683
Mailing Address - Fax:432-818-1276
Practice Address - Street 1:3500 N A ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2554
Practice Address - Country:US
Practice Address - Phone:432-550-5683
Practice Address - Fax:432-818-1276
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10108101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional