Provider Demographics
NPI:1235701939
Name:HIGGS, SAVANNAH A
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:A
Last Name:HIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13604 MEADOW VISTA CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-8379
Mailing Address - Country:US
Mailing Address - Phone:502-744-4518
Mailing Address - Fax:
Practice Address - Street 1:13604 MEADOW VISTA CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-8379
Practice Address - Country:US
Practice Address - Phone:502-744-4518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker