Healthcare Provider Details

I. General information

NPI: 1760590475
Provider Name (Legal Business Name): ALISON HIGGS ANDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON LOUISE HIGGS LPC

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 SANTA ROSA RD SUITE 211
RICHMOND VA
23229
US

IV. Provider business mailing address

1503 SANTA ROSA RD SUITE 211
RICHMOND VA
23229
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-9100
  • Fax: 804-282-3266
Mailing address:
  • Phone: 804-282-9100
  • Fax: 804-282-3266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701003636
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: