Healthcare Provider Details

I. General information

NPI: 1154086981
Provider Name (Legal Business Name): HIGGINS COUNSELING & PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7395 EL CAMINO REAL # 454
ATASCADERO CA
93422-4628
US

IV. Provider business mailing address

7395 EL CAMINO REAL # 454
ATASCADERO CA
93422-4628
US

V. Phone/Fax

Practice location:
  • Phone: 484-636-7244
  • Fax:
Mailing address:
  • Phone: 484-636-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA M HIGGINS
Title or Position: PRESIDENT PSYCHOLOGIST
Credential: PHD
Phone: 484-636-7244