Provider Demographics
NPI:1326504747
Name:HIGGINBOTHAM, BRITNI
Entity Type:Individual
Prefix:MISS
First Name:BRITNI
Middle Name:
Last Name:HIGGINBOTHAM
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 1:18220 BRANDERS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1652
Mailing Address - Country:US
Mailing Address - Phone:804-926-0587
Mailing Address - Fax:
Practice Address - Street 1:3604 E RIVER RD
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23803-2038
Practice Address - Country:US
Practice Address - Phone:804-898-3800
Practice Address - Fax:804-302-5607
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor