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MRS. DOMINIQUE DIJKHUIZEN LCSW
NPI 1689148397
Clinic/Center - Adult Mental Health in Southern Pines, NC

Active since January 15, 2019
101 LANARK TRL, SOUTHERN PINES, NC 28387(719) 270-1722 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, May 21, 2022, Mar 10, 2022 and 3 more (6 updates tracked since 2019).

About Mrs. Dominique Dijkhuizen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DOMINIQUE DIJKHUIZEN LCSW (NPI 1689148397) is an individual adult mental health provider in Southern Pines, North Carolina, licensed in Colorado (1689148397) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1689148397
Entity TypeIndividualFemale
Primary Taxonomy261QM0850X
Provider Legal NameMRS. DOMINIQUE DIJKHUIZENCredential: LCSW
Location Address101 LANARK TRLSouthern Pines, NC 28387-7513
Mailing Address216 Commerce Ave # 189Southern Pines, NC 28387-7059 · (719) 270-1722
Phone(719) 270-1722
Sole ProprietorYes
Enumeration DateJanuary 15, 2019
Last NPPES UpdateJune 6, 20226 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1689148397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in CO · 1689148397
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
101 LANARK TRL, Southern Pines, NC 28387
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELIORA THERAPY AND CONSULTING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 LANARK TRL
SOUTHERN PINES, NC 28387
Moore County (719) 270-1722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Dijkhuizen's NPI number?

The NPI number for Dominique Dijkhuizen is 1689148397. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Dominique Dijkhuizen located?

Dominique Dijkhuizen practices at 101 Lanark Trl, Southern Pines, NC 28387. The listed phone number is (719) 270-1722.

What is Dominique Dijkhuizen's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Dominique Dijkhuizen was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.