Healthcare Provider Details

I. General information

NPI: 1114038817
Provider Name (Legal Business Name): DANIEL HIGGINS LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 KILBOURNE ST SUITE G
BELLEVUE OH
44811-9431
US

IV. Provider business mailing address

791 FLAT ROCK RD
BELLEVUE OH
44811-9410
US

V. Phone/Fax

Practice location:
  • Phone: 419-483-9411
  • Fax: 419-483-9247
Mailing address:
  • Phone: 419-484-0603
  • Fax: 419-483-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE3595
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: