Provider Demographics
NPI:1003600883
Name:HIGGINBOTHAM, LOUISA J (MS CMHC)
Entity type:Individual
Prefix:
First Name:LOUISA
Middle Name:J
Last Name:HIGGINBOTHAM
Suffix:
Gender:
Credentials:MS CMHC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3850 W ORANGE GROVE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2869
Mailing Address - Country:US
Mailing Address - Phone:520-720-9790
Mailing Address - Fax:
Practice Address - Street 1:3850 W ORANGE GROVE RD STE 3
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2869
Practice Address - Country:US
Practice Address - Phone:520-720-9790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health