MEDICARE: LAURIE ELLEN MILLER HIGGINS MSW, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	RC00050557	WA
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1336273341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE ELLEN MILLER HIGGINS MSW, LICSW

Provider Business Mailing Address
First Line	:	1417 W CRESTWOOD CT
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-3000
Country	:	US
Telephone Number	:	509-990-8401
Fax Number	:

Provider Business Practice Location Address
First Line	:	9708 N NEVADA ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-6004
Country	:	US
Telephone Number	:	509-466-0226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	02/02/2025

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