Provider Demographics
NPI:1295872760
Name:HIGGINS, MARY FRANCES (LMHC MFT ADC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LMHC MFT ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N 3RD ST STE 520
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-5308
Mailing Address - Country:US
Mailing Address - Phone:319-754-6266
Mailing Address - Fax:319-752-2195
Practice Address - Street 1:320 N 3RD ST STE 520
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5308
Practice Address - Country:US
Practice Address - Phone:319-754-6266
Practice Address - Fax:319-752-2195
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA00838OtherLMHC
IA712556000Medicaid