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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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