Organization
MK DIXON COUNSELING & CONSULTING LLC
Active
Other names
Breakthrough Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIZZY DIXON LPC-S (PROGRAM MANAGER)
(337) 534-0254
Entity
Organization
Contact information
Practice address
105 INDUSTRIAL PARKWAY, LAFAYETTE, LA 70508
(337) 501-1128
Mailing address
105 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-3207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2461389
—
LA
Enumeration date
09/10/2017
Last updated
10/24/2025
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