Provider Demographics
NPI:1811207103
Name:DM HIGGINS COMPANY
Entity Type:Organization
Organization Name:DM HIGGINS COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:2028-700-8060
Mailing Address - Street 1:8200 GREENSBORO DR
Mailing Address - Street 2:SUITE 921
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3892
Mailing Address - Country:US
Mailing Address - Phone:202-870-8060
Mailing Address - Fax:
Practice Address - Street 1:8200 GREENSBORO DR
Practice Address - Street 2:SUITE 921
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3892
Practice Address - Country:US
Practice Address - Phone:202-870-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA090400053201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty