Provider Demographics
NPI:1043597537
Name:BIGHAM, JOYCE JOANNE (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:JOANNE
Last Name:BIGHAM
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:J
Other - Middle Name:JOANNE
Other - Last Name:BIGHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC, NCC
Mailing Address - Street 1:PO BOX 53505
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79453-3505
Mailing Address - Country:US
Mailing Address - Phone:806-789-2421
Mailing Address - Fax:806-793-8291
Practice Address - Street 1:3405 92ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-3604
Practice Address - Country:US
Practice Address - Phone:806-789-2421
Practice Address - Fax:806-793-8291
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65605101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX289883501Medicaid