Provider Demographics
NPI:1982471561
Name:HURD, DIXIE LEE (HOWELL) (LPC)
Entity type:Individual
Prefix:
First Name:DIXIE
Middle Name:LEE (HOWELL)
Last Name:HURD
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 1:4045 NW 64TH ST STE 520
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-8608
Mailing Address - Country:US
Mailing Address - Phone:405-842-4911
Mailing Address - Fax:405-842-5807
Practice Address - Street 1:4045 NW 64TH ST STE 520
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-8608
Practice Address - Country:US
Practice Address - Phone:405-842-4911
Practice Address - Fax:405-842-5807
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1299101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor