# IME BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487184966
- **Authorized official:** MRS. ERICA DIXON LCPC, LCADC (CLINICAL THERPIST)
- **Authorized official phone:** (240) 512-0141

## Contact information

- **Practice address:** 8850 STANFORD BLVD STE 1950, COLUMBIA, MD 21045-4889
- **Practice address phone:** (240) 512-0141
- **Practice address fax:** (240) 512-0151
- **Mailing address:** 8850 STANFORD BLVD STE 1950, COLUMBIA, MD 21045-4889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 06/15/2017