Provider Demographics
NPI:1174651996
Name:HIGHFIELD, DAVID D SR (MDIV)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:D
Last Name:HIGHFIELD
Suffix:SR
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 HIGHWAY 100
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CENTERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37033
Mailing Address - Country:US
Mailing Address - Phone:931-729-3573
Mailing Address - Fax:931-729-9330
Practice Address - Street 1:704 HIGHWAY 100
Practice Address - Street 2:SUITE 101
Practice Address - City:CENTERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37033
Practice Address - Country:US
Practice Address - Phone:931-729-3573
Practice Address - Fax:931-729-9330
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDC00000000235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional