Provider Demographics
NPI:1447629043
Name:HIGGINBOTHAM, BRITTANY (MED, MFT, LPC, LMHC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HIGGINBOTHAM
Suffix:
Gender:F
Credentials:MED, MFT, LPC, LMHC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:N
Other - Last Name:HIGGINBOTHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED,MFT, LPC, LMHC
Mailing Address - Street 1:PO BOX 260181
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06126-0181
Mailing Address - Country:US
Mailing Address - Phone:860-752-5852
Mailing Address - Fax:
Practice Address - Street 1:347 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095
Practice Address - Country:US
Practice Address - Phone:860-752-5852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist