| NPI | 1629641154 |
|---|---|
| Other Name | CARLA HIGGINBOTHAM, LLC |
| Entity Type | Organization |
| Authorized Contact | CARLA DENISE HIGGINBOTHAM Licensed Professional Counselor 817-999-5325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |