Provider Demographics
NPI:1992940639
Name:HIGGINS, MICHELLE LEE (MED LMHC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEE
Last Name:HIGGINS
Suffix:
Gender:
Credentials:MED LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 SOLUTIONS WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3627
Mailing Address - Country:US
Mailing Address - Phone:321-608-0085
Mailing Address - Fax:
Practice Address - Street 1:590 SOLUTIONS WAY
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3627
Practice Address - Country:US
Practice Address - Phone:321-608-0085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH9954101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health