Individual provider · Type 1 NPI

Pennie Laine Higdon, MCP, LPC

Counselor · Keller, TX

NPI number 1104765445 Active

Practice location

PO Box 1276
Keller, TX 76244

Call (817) 528-2672 Map

Fax (817) 704-4080

Other practice locations

  • 1752 Rio Costilla Rd, Fort Worth, TX 76131-1605 · (817) 528-2672

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X17347 (TX)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104765445

Pennie Laine Higdon, MCP, LPC's National Provider Identifier is 1104765445, issued on Mar 25, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Keller, TX. The record was last updated on Mar 25, 2026.