Provider Demographics
NPI:1245659952
Name:HIGGINS, DATONNA MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:DATONNA
Middle Name:MICHELLE
Last Name:HIGGINS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 180164
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72918-0164
Mailing Address - Country:US
Mailing Address - Phone:539-867-3015
Mailing Address - Fax:539-867-7080
Practice Address - Street 1:2712 MARKET TRCE UNIT 180164
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72918-7083
Practice Address - Country:US
Practice Address - Phone:539-867-3015
Practice Address - Fax:539-867-7080
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ARP1902017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health