Provider Demographics
NPI:1891966255
Name:HIGDON, STEPHANIE SHUWAN (MS)
Entity type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:SHUWAN
Last Name:HIGDON
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 HOLLY LN
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1835
Mailing Address - Country:US
Mailing Address - Phone:954-225-1912
Mailing Address - Fax:
Practice Address - Street 1:624 HOLLY LN
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1835
Practice Address - Country:US
Practice Address - Phone:954-225-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health