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

Mr. Antwan Tavarious Dixon, LPC

Individual provider Professional Counselor · NPI 1295203610

Mr. Antwan Tavarious Dixon, LPC is a Professional Counselor in Kennesaw, Georgia. Practices as a sole proprietor and works from 3 locations. Licensed in Alabama and Georgia.

Licensed in
AL, GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1144 Ware Blvd, Birmingham, AL 35235-1535 — (800) 916-3713
  • 1 Cvs Dr, Woonsocket, RI 02895-6146 — (866) 389-2727

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012255 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC03905 (AL)

Record details

NPI number1295203610
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 2, 2018
Last updated in NPPESNovember 16, 2025
Certification dateNovember 16, 2025

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