| Doctor Name: | LAKISHA K DIXON |
| NPI Number: | 1104078104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 2693-B |
| Business Practice Address: | 3450 W 34th Ave Pine Bluff, AR - 716035508 |
| Business Phone Number: | 8705346067 |
| Business Fax Number: | 8705347392 |
| Mailing Address: | 800 Marshall St, Slot 900 LITTLE ROCK |
| State: | AR |
| Postal Code: | 722023510 |
| Phone Number: | 5013643620 |
| Fax Number: | 5013643994 |
| NPI Enumeration Date: | 10/21/2008 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2693-B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |