Mixon, Lekisha
Mixon, Lekisha is an individual health care provider with primary practice located at 400 29Th St Ste 405 , Oakland CA 94609-3549. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mixon, Lekisha can be contacted via phone (510) 268-8544.Contact Information
Primary practice address
400 29Th St Ste 405
Oakland CA 94609-3549
Phone: (510) 268-8544
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY30979 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY30979 | California |
Profile Details
NPI number | 1609422674 |
---|---|
LBN Legal business name | Mixon, Lekisha |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2019 |
Last updated | Aug 14th, 2019 - about 6 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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