Provider Demographics
NPI:1528361201
Name:HIGGINS, LEONTYNE (MA)
Entity Type:Individual
Prefix:MS
First Name:LEONTYNE
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MELSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:SC
Mailing Address - Zip Code:29061-8464
Mailing Address - Country:US
Mailing Address - Phone:803-776-3965
Mailing Address - Fax:
Practice Address - Street 1:114 MELSTONE DR
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:SC
Practice Address - Zip Code:29061-8464
Practice Address - Country:US
Practice Address - Phone:803-776-3965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor