Provider Demographics
NPI:1730347220
Name:HIGGINS, LINDA JODIE (LCDC, ACADC, CCS)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JODIE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LCDC, ACADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4091 SUMMERHILL SQ
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2768
Mailing Address - Country:US
Mailing Address - Phone:903-792-8887
Mailing Address - Fax:903-792-8799
Practice Address - Street 1:4091 SUMMERHILL SQ
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2768
Practice Address - Country:US
Practice Address - Phone:903-792-8887
Practice Address - Fax:903-792-8799
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8243101YA0400X
ARACADC/A-119101YA0400X
ARCCS/A-119101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)