Kixmiller, Scott G.

Kixmiller, Scott G. is an sole proprietor health care provider with primary practice located at 3755 Admiral Dr Ste 105A , High Point NC 27265-1554. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kixmiller, Scott G. can be contacted via phone (336) 673-5097.

Contact Information

Primary practice address
3755 Admiral Dr Ste 105A High Point NC 27265-1554
Phone: (336) 673-5097
Fax: (336) 203-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1890 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007896 North Carolina

Profile Details

NPI number 1669775318
LBN Legal business name Kixmiller, Scott G.
Credentials MSW, LCSW, LCAS, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2010
Last updated Aug 3rd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669775318 NPPES
North Carolina MEDICAID 6112277

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