Provider Demographics
NPI:1992221923
Name:HIX, MAKAYLA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:ANN
Last Name:HIX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5942 S FM 549
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6044
Mailing Address - Country:US
Mailing Address - Phone:214-205-2433
Mailing Address - Fax:
Practice Address - Street 1:5942 S FM 549
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6044
Practice Address - Country:US
Practice Address - Phone:214-205-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX589641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical