Provider Demographics
NPI:1649574377
Name:HIGGINS, LEIGH ANN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 BROADWAY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2591
Mailing Address - Country:US
Mailing Address - Phone:816-285-1363
Mailing Address - Fax:
Practice Address - Street 1:3100 BROADWAY BLVD STE 400
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2591
Practice Address - Country:US
Practice Address - Phone:816-285-1363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor