Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTWAN TAVARIOUS DIXON, LPC
Active Sole ProprietorMR. ANTWAN TAVARIOUS DIXON, LPC is a Professional Counselor healthcare provider located in KENNESAW, Georgia. NPI 1295203610 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · KENNESAW, GA
Registration Details
- NPI Number
- 1295203610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2018 (7.5968905324396 yrs)
- Last Updated
- Nov 16, 2025
- Licenses
-
LPC012255 (GA)LPC03905 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2782 N COBB PKWYKENNESAW, GA, 301523472Browse GA providers · Browse ZIP 30152
- Phone
- 8663892727
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in KENNESAW, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. REBECCA RAE BERGERT | LPC | 1578548400 |
| KATE L KELAVA | MS, EDS, LPC | 1225135874 |
| MR. ALFRED BALL CARTER IV | MA | 1285702779 |
| MISS ANNE C FRANCIS | M.S., LPC, MAC | 1891859344 |
| JENNIFER LYNN THOMPSON | LPC | 1871630202 |
| MRS. ELIZABETH MADDOX KRESGE | — | 1609902543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.