Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camille Nixon, LLC

Individual provider Professional Counselor · NPI 1932741501

Camille Nixon, LLC is a Professional Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6451024907 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1932741501
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLC
Sole proprietorNo
NPI enumeratedOctober 15, 2019
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

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