Individual provider · Type 1 NPI
Deedra Ivie, LPC
Professional Counselor · Brixey, MO
NPI number
1912353145
Active
Practice location
91 Verbena Ln
Brixey, MO 65618-7802
Mailing address
PO Box 482
Gainesville, MO 65655-0482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 2022006994 (MO) |
| Professional Counselor Primary | 101YP2500X | 0005775 (CO) |
| Professional Counselor | 101YP2500X | CC7342 (ME) |
Professional Counselor: Definition to come...
About NPI 1912353145
Deedra Ivie, LPC's National Provider Identifier is 1912353145, issued on May 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brixey, MO. The record was last updated on Apr 9, 2026.