Individual
PHILLIP M HIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LADAC CCS
Contact information
Practice address
110 SKYLINE DRIVE, RUSSELLVILLE, AR 72801
(479) 968-1298
(479) 968-6053
Mailing address
350 SALEM ROAD, SUITE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0245L
AR
101YM0800X
Mental Health Counselor
7828E
AR
Other
Enumeration date
10/05/2006
Last updated
09/11/2025
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