Provider Demographics
NPI:1154946937
Name:HIGGINS, JOLEI
Entity type:Individual
Prefix:
First Name:JOLEI
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 HAYFIELD LOOP
Mailing Address - Street 2:
Mailing Address - City:DORA
Mailing Address - State:AL
Mailing Address - Zip Code:35062-5442
Mailing Address - Country:US
Mailing Address - Phone:205-218-4059
Mailing Address - Fax:
Practice Address - Street 1:15 SOUTHLAKE LN
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3327
Practice Address - Country:US
Practice Address - Phone:205-218-4059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional