Healthcare Provider Details

I. General information

NPI: 1972211241
Provider Name (Legal Business Name): SHELLEY D HIGGINS LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 HENDERSONVILLE RD STE 104&106
ASHEVILLE NC
28803-3187
US

IV. Provider business mailing address

PO BOX 1536
MORGANTON NC
28680-1536
US

V. Phone/Fax

Practice location:
  • Phone: 828-437-3000
  • Fax: 828-437-4999
Mailing address:
  • Phone: 828-437-3000
  • Fax: 828-437-4999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: