Higgins Psychological Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC007422 Issued in GA

Legal business name

HIGGINS PSYCHOLOGICAL SERVICES LLC

Practice address

245 Brookclear LN
Fayetteville, GA 30215-4639

Phone

(770) 912-7943

NPI assigned

Jun 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Lynn Higgins, LPC

Title

Owner

Phone

(770) 912-7943

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1023490117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BROOKCLEAR LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154639",
            "telephone_number": "770-912-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BROOKCLEAR LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154639",
            "telephone_number": "770-912-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGINS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-912-7943",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fayetteville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.