Individual provider · Type 1 NPI

Phillip M. Higdon, MS LADAC CCS

Addiction (Substance Use Disorder) Counselor · Russellville, AR

NPI number 1023104338 Active

Practice location

110 Skyline Drive
Russellville, AR 72801

Call (479) 968-1298 Map

Fax (479) 968-6053

Mailing address

350 Salem Road, Suite 1
Conway, AR 72034

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0245L (AR)
Mental Health Counselor 101YM0800X7828E (AR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023104338

Phillip M. Higdon, MS LADAC CCS's National Provider Identifier is 1023104338, issued on Oct 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Russellville, AR. The record was last updated on Sep 11, 2025.