Provider Demographics
NPI:1528331907
Name:BIGGERS, BENJAMIN MERRILL (LPC/MHSP, NCC)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:MERRILL
Last Name:BIGGERS
Suffix:
Gender:M
Credentials:LPC/MHSP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 WILMA RUDOLPH BLVD STE 110A
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6750
Mailing Address - Country:US
Mailing Address - Phone:931-624-4732
Mailing Address - Fax:931-919-1500
Practice Address - Street 1:1860 WILMA RUDOLPH BLVD STE 110A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6750
Practice Address - Country:US
Practice Address - Phone:931-624-4732
Practice Address - Fax:931-919-1500
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3746101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional