Provider Demographics
NPI:1366540015
Name:HIGGINS, ROBERT WARREN (LPC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:WARREN
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:STORMY
Other - Middle Name:
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:500 CHESTNUT ST
Mailing Address - Street 2:SUITE 1275
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-1453
Mailing Address - Country:US
Mailing Address - Phone:325-672-9106
Mailing Address - Fax:325-672-9107
Practice Address - Street 1:500 CHESTNUT ST
Practice Address - Street 2:SUITE 1275
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1453
Practice Address - Country:US
Practice Address - Phone:325-672-9106
Practice Address - Fax:325-672-9107
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional