Provider Demographics
NPI:1740934082
Name:HIGGINS, LORI LEE HOULIHAN (ATR-BC, LCAT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LEE HOULIHAN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-2411
Mailing Address - Country:US
Mailing Address - Phone:585-576-0579
Mailing Address - Fax:
Practice Address - Street 1:7 JAMES ST
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-2411
Practice Address - Country:US
Practice Address - Phone:585-576-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0001159101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health