Organization
MIRA NEURO BEHAVIORAL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS HIGGINS PSY.D (PRESIDENT/CHAIRMAN)
(708) 726-6472
Entity
Organization
Contact information
Practice address
6775 PROSPERI DRIVE, TINLEY PARK, IL 60477
(708) 726-6472
Mailing address
11800 S. 75TH AVENUE #300, PALOS HEIGHTS, IL 60463
(708) 671-8440
(708) 671-8446
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
05/26/2023
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