Provider Demographics
NPI:1861684706
Name:RIGGINS, MICHAEL F (LPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:RIGGINS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:F
Other - Last Name:RIGGINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:4044 MCLEAN RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76117-1002
Mailing Address - Country:US
Mailing Address - Phone:432-353-4545
Mailing Address - Fax:
Practice Address - Street 1:4044 MCLEAN RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76117-1002
Practice Address - Country:US
Practice Address - Phone:432-353-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTSB05892101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional