Individual
MS. LORELIE SHARON NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4902 EISENHOWER BLVD STE 315, TAMPA, FL 33634-6344
(813) 290-8560
(813) 435-2033
Mailing address
5707-N 22ND STREET, MENTAL HEALTH CARE INC, TAMPA, FL 33610
(813) 272-2878
(813) 272-3766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH15963
FL
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752234700
—
FL
Enumeration date
10/05/2006
Last updated
04/18/2019
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