Melissa Higginbotham, LPC
Individual provider Active NPI Professional Counselor · Sheridan, AR
NPI 1508216664 · NPPES record last updated Oct 21, 2016
Key facts
- NPI
- 1508216664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P1506064 (AR)
- Practice address
- 201 S Rose St
Sheridan, AR 72150-2451 - Phone
- (870) 917-2171
- Fax
- (870) 917-2161
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1506064 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1506064 | AR | Yes |
Addresses
Primary practice location
201 S Rose St
Sheridan, AR 72150-2451
Mailing address
201 S Rose St
Sheridan, AR 72150-2451
Phone (870) 917-2171
Other providers in Sheridan, AR
- Donald Hedden
- Rebecca Henry
- Brittney Hensley
- Laura Susan Hensley
- Jolee Higginbotham
- Elizabeth Higgins
- William Artis Highsmith
- Ashton Paige Hill
- Martha Victoria Hobson
- Deirdre Holladay
All providers in Sheridan, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.