Provider Demographics
NPI:1336266626
Name:HIGGINS, TAMISHA DEVONNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:TAMISHA
Middle Name:DEVONNE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 TIDEWATER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-3359
Mailing Address - Country:US
Mailing Address - Phone:832-483-0822
Mailing Address - Fax:281-495-4445
Practice Address - Street 1:11104 W AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3035
Practice Address - Country:US
Practice Address - Phone:832-483-0822
Practice Address - Fax:281-495-4445
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20242101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor