Dickson, Cody William

Dickson, Cody William is an sole proprietor health care provider with primary practice located at 3805 22Nd St Ste 1C , Lubbock TX 79410-1142. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dickson, Cody William can be contacted via phone (806) 252-6633.

Contact Information

Primary practice address
3805 22Nd St Ste 1C Lubbock TX 79410-1142
Phone: (806) 252-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5222 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 69897 Texas

Profile Details

NPI number 1124436035
LBN Legal business name Dickson, Cody William
Credentials PHD, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2014
Last updated Sep 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124436035 NPPES
Nebraska Other 5222 NEBRASKA DHHS LICENSURE UNIT
Nebraska MEDICAID 338488501 NEBRASKA DHHS LICENSURE UNIT
Nebraska Other 69897 NEBRASKA DHHS LICENSURE UNIT

Popular Providers