Provider Demographics
NPI:1780831693
Name:HIGHTOWER, MICHELLE LAVONNE (MHPP)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LAVONNE
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5537 BLEAUX AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0737
Mailing Address - Country:US
Mailing Address - Phone:479-872-5580
Mailing Address - Fax:479-872-5581
Practice Address - Street 1:1151 S ROGERS ST
Practice Address - Street 2:STE 7 & 8
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-9158
Practice Address - Country:US
Practice Address - Phone:479-754-5511
Practice Address - Fax:479-754-5545
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor