Provider Demographics
NPI:1508045592
Name:HIGGS, EBONY B (MA, LPC)
Entity Type:Individual
Prefix:
First Name:EBONY
Middle Name:B
Last Name:HIGGS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 MCEWEN RD
Mailing Address - Street 2:SUITE 285
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5113
Mailing Address - Country:US
Mailing Address - Phone:214-774-4270
Mailing Address - Fax:214-254-3762
Practice Address - Street 1:4100 MCEWEN RD
Practice Address - Street 2:SUITE 285
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-5113
Practice Address - Country:US
Practice Address - Phone:214-774-4270
Practice Address - Fax:214-254-3762
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62582101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional