Individual
TIMOTHY SAWYER NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC
Contact information
Practice address
218 TRIBBLE ST, ANDERSON, SC 29625-4339
(864) 642-1171
Mailing address
102 RUNNING FOX LN, BELTON, SC 29627-8299
(864) 706-3910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5284
SC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528234648
—
SC
Enumeration date
05/08/2008
Last updated
05/20/2020
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