PHILLIP M HIGDON MS LADAC CCS
NPI 1023104338
Counselor - Addiction (Substance Use Disorder) in Russellville, AR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since October 05, 2006

110 SKYLINE DRIVE, RUSSELLVILLE, AR 72801(479) 968-1298(479) 968-6053 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Phillip M Higdon Ms Ladac Ccs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP M HIGDON MS LADAC CCS (NPI 1023104338) is an individual addiction (substance use disorder) provider in Russellville, Arkansas, licensed in Arkansas (0245L) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1023104338

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NamePHILLIP M HIGDONCredential: MS LADAC CCS

Location Address110 SKYLINE DRIVERussellville, AR 72801

Mailing Address350 Salem Road, Suite 1Conway, AR 72034 · (501) 336-8300 · Fax (501) 329-3572

Phone(479) 968-1298

Fax(479) 968-6053

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1023104338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AR · 0245L

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7828E (AR)

110 SKYLINE DRIVE, Russellville, AR 72801

Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA KAE FREEMAN RN

Registered Nurse (Psychiatric/Mental Health)