- Practice location
- 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472
- Phone
- 866-389-2727
- Fax
- —
- Last updated
- November 16, 2025
Antwan Tavarious Dixon is a Counselor, Professional based in Kennesaw, GA. Antwan Tavarious Dixon practices in Kennesaw, GA and has the professional credentials of LPC. The NPI Number for Antwan Tavarious Dixon is 1295203610 and holds a License No. LPC012255 (GA). The current practice location address for Antwan Tavarious Dixon is 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 and can be reached out via phone at 866-389-2727.
Provider Profile Details
- NPI Number
- 1295203610
- Provider Name
- Antwan Tavarious Dixon
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472
- Phone Number
- 866-389-2727
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 2, 2018
- Last Update Date
- November 16, 2025
- Certification Date
- November 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2782 N Cobb Pkwy
Kennesaw, GA 30152-3472 - City
- Kennesaw
- State
- Georgia
- Zip
- 30152-3472
- Phone Number
- 866-389-2727
Provider Business Mailing Address Details
- Address
- 2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317 - City
- Birmingham
- State
- AL
- Zip
- 35209-1317
- Phone Number
- 205-821-6273
License Information
- License Number (1)
- LPC012255
- License State (1)
- GA
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- License Number (2)
- LPC03905
- License State (2)
- AL
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Antwan T Dixon, LPC?
The NPI number of Mr. Antwan T Dixon, LPC is 1295203610. It was assigned on November 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Mr. Antwan T Dixon, LPC?
Mr. Antwan T Dixon, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in GA under license number LPC012255.
Where does Mr. Antwan T Dixon, LPC practice?
The practice location is 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472. The office can be reached at 866-389-2727 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295203610 directly on the NPPES registry website.