Provider Demographics
NPI:1902203375
Name:J. CODY HIGGS COUNSELING, LLC
Entity Type:Organization
Organization Name:J. CODY HIGGS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:931-626-3278
Mailing Address - Street 1:1129 TROTWOOD AVE
Mailing Address - Street 2:SUITE 24
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3046
Mailing Address - Country:US
Mailing Address - Phone:931-626-3278
Mailing Address - Fax:
Practice Address - Street 1:1129 TROTWOOD AVE
Practice Address - Street 2:SUITE 24
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3046
Practice Address - Country:US
Practice Address - Phone:931-626-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3271101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty