MEDICARE: HIGGINS COUNSELING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104685817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGGINS COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	5430 RIVERMILL LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7439
Country	:	US
Telephone Number	:	561-247-3694
Fax Number	:	321-415-3158

Provider Business Practice Location Address
First Line	:	5430 RIVERMILL LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7439
Country	:	US
Telephone Number	:	561-247-3694
Fax Number	:	321-415-3158

Authorized Official
Title or Position	:	CEO/CLINICAL DIRECTOR
Name	:	CLAUDIA HIGGINS
Credential	:
Telephone Number	:	561-247-3694

Provider Enumeration Date	:	03/15/2024
Last Update Date	:	03/15/2024

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