Provider Demographics
NPI:1245724665
Name:HIGGINS, MARTINQUE CHERELLE (MHP)
Entity type:Individual
Prefix:
First Name:MARTINQUE
Middle Name:CHERELLE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WHITNEY AVE STE 409
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2503
Mailing Address - Country:US
Mailing Address - Phone:504-362-9010
Mailing Address - Fax:504-362-9070
Practice Address - Street 1:401 WHITNEY AVE STE 409
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2503
Practice Address - Country:US
Practice Address - Phone:504-362-9010
Practice Address - Fax:504-362-9070
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator