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NPI Code Detail

MEDICARE: MRS. BRITTANY DENISE HIGGINS LMHC

MEDICARE: MRS. BRITTANY DENISE HIGGINS LMHC
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor009800-01NY

General Provider Information

NPI Number : 1902121411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANY DENISE HIGGINS LMHC
Provider Business Mailing Address
First Line : 6723 TOWPATH RD
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-9506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6723 TOWPATH RD
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-9506
Country : US
Telephone Number : 315-472-4471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2010
Last Update Date : 06/23/2021

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