Provider Demographics
NPI:1235527144
Name:ROBERTS-HIGGENBOTHAM, LOUKISHA MONIQUE (DNP, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LOUKISHA
Middle Name:MONIQUE
Last Name:ROBERTS-HIGGENBOTHAM
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:538 W COMMERCE ST STE 4350
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-1921
Mailing Address - Country:US
Mailing Address - Phone:478-285-9950
Mailing Address - Fax:672-682-2064
Practice Address - Street 1:243 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SWAINSBORO
Practice Address - State:GA
Practice Address - Zip Code:30401-3163
Practice Address - Country:US
Practice Address - Phone:478-237-2484
Practice Address - Fax:478-237-7541
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN232719163W00000X, 363LP0808X
TX1034108363LP0808X
AZ285428363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse