Provider Demographics
NPI:1437315918
Name:HIGGINS, KINDLE KAY (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:KINDLE
Middle Name:KAY
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15420 CROSSING GATE DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8130
Mailing Address - Country:US
Mailing Address - Phone:704-519-7403
Mailing Address - Fax:
Practice Address - Street 1:1318 DAVIE AVE STE D
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3565
Practice Address - Country:US
Practice Address - Phone:704-873-5399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1900101YP2500X
NC7635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional