Provider Demographics
NPI:1700653581
Name:HIGGINS, KIRSTEN (MS, LPC-MHSP TEMP)
Entity type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MS, LPC-MHSP TEMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 GAY ST
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650-1232
Mailing Address - Country:US
Mailing Address - Phone:423-220-9959
Mailing Address - Fax:
Practice Address - Street 1:2700 S ROAN ST STE 430
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-7641
Practice Address - Country:US
Practice Address - Phone:423-281-5320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6816101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health