Healthcare Provider Details

I. General information

NPI: 1013441682
Provider Name (Legal Business Name): BRIANNA HIGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 S MAIN ST
FALL RIVER MA
02721-5375
US

IV. Provider business mailing address

249 LINDEN ST
FALL RIVER MA
02720-5029
US

V. Phone/Fax

Practice location:
  • Phone: 774-473-1583
  • Fax:
Mailing address:
  • Phone: 774-473-1583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12401
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: