| Stephanie Leonard Higdon | |
|
122 Courthouse Square Danielsville GA 30633 | |
| (706) 206-5627 | |
| (866) 252-7137 |
| Full Name | Stephanie Leonard Higdon |
|---|---|
| Speciality | Social Worker |
| Location | 122 Courthouse Square, Danielsville, Georgia |
| Authorized Official Name and Position | Stephanie Higdon (OWNER) |
| Authorized Official Contact | 7062065627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Leonard Higdon Po Box 809 Danielsville GA 30633-0809 Ph: (706) 206-5627 | Stephanie Leonard Higdon 122 Courthouse Square Danielsville GA 30633 Ph: (706) 206-5627 |
| NPI Number | 1295233237 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 10/24/2022 |
| Certification Date | 09/30/2022 |
| Medicare PECOS PAC ID | 9537424478 |
|---|---|
| Medicare Enrollment ID | O20180524002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295233237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW006035 (Georgia) | Primary |
| Provider Name | Stephanie Higdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972018729 PECOS PAC ID: 0446515381 Enrollment ID: I20180524002885 |
Garden Of Eden Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1591 James Adams Rd, Danielsville, GA 30633 Phone: 706-795-0058 | |
Edins Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 James Adams Rd, Danielsville, GA 30633 Phone: 706-614-9922 |