Healthcare Provider Details

I. General information

NPI: 1912819939
Provider Name (Legal Business Name): PHOEBE SOPHIA HIGDEN LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 WALKER AVE
GREENSBORO NC
27403-1918
US

IV. Provider business mailing address

2600 ATLANTIC ST
DURHAM NC
27707-4112
US

V. Phone/Fax

Practice location:
  • Phone: 336-429-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP024557
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: