Provider Demographics
NPI:1891327805
Name:HIGGINS, ASHLEY M (LCPC)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:M
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 BONNYBANK TER
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-6307
Mailing Address - Country:US
Mailing Address - Phone:207-254-7812
Mailing Address - Fax:
Practice Address - Street 1:75 JOHN ROBERTS RD STE B8
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-6964
Practice Address - Country:US
Practice Address - Phone:207-775-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL5305101YM0800X
MECC6153101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health