Higdon, Phillip M

Higdon, Phillip M is an individual health care provider with primary practice located at 110 Skyline Drive , Russellville AR 72801. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Higdon, Phillip M can be contacted via phone (479) 968-1298.

Contact Information

Primary practice address
110 Skyline Drive Russellville AR 72801
Phone: (479) 968-1298
Fax: (479) 968-6053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0245L Arkansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7828E Arkansas

Profile Details

NPI number 1023104338
LBN Legal business name Higdon, Phillip M
Credentials MS LADAC CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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