Provider Demographics
NPI:1407536576
Name:HIGGINS, BENJAMIN (PLMHP)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 UNDERWOOD AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2685
Mailing Address - Country:US
Mailing Address - Phone:402-515-9776
Mailing Address - Fax:
Practice Address - Street 1:9300 UNDERWOOD AVE STE 240
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2685
Practice Address - Country:US
Practice Address - Phone:402-515-9776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health