Provider Demographics
NPI:1073776142
Name:HIGGINS, TRACY A (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:A
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MACCULLOCH AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-9448
Mailing Address - Country:US
Mailing Address - Phone:908-552-4469
Mailing Address - Fax:
Practice Address - Street 1:18 MACCULLOCH AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-9448
Practice Address - Country:US
Practice Address - Phone:908-552-4469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00363500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional