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BRADLEY HIGGINBOTHAM MSSA
NPI 1396216404
Counselor - Addiction (Substance Use Disorder) in Lake Charles, LA

Active since December 16, 2018
145 VICTORIA DR, LAKE CHARLES, LA 70611(337) 855-9773 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Higginbotham Mssa NPPES

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

BRADLEY HIGGINBOTHAM MSSA (NPI 1396216404) is an individual addiction (substance use disorder) provider in Lake Charles, Louisiana and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1396216404
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRADLEY HIGGINBOTHAMCredential: MSSA
Location Address145 VICTORIA DRLake Charles, LA 70611-4641
Mailing Address209 Park AveLake Charles, LA 70601-5967 · (337) 304-3719
Phone(337) 855-9773
Sole ProprietorNo
Enumeration DateDecember 16, 2018
✔ NPI 1396216404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
145 VICTORIA DR, Lake Charles, LA 70611
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Other Providers at the Same Location NPPES 9

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

NEW BEGINNINGS AT LAKE CHARLES LLC
Clinic/Center (Multi-Specialty)
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773
KATHLEEN ROSE CANTERBURY
Counselor (Addiction (Substance Use Disorder))
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773
NEW BEGINNINGS AT LAKE CHARLES, LLC
Substance Abuse Rehabilitation Facility
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773
CHRISTOPHER RYAN GUIDRY LAC
Counselor (Addiction (Substance Use Disorder))
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773
KATHLEEN GREGOIRE
Counselor (Addiction (Substance Use Disorder))
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773
MRS. SHANNON ARDOIN LAC
Counselor (Addiction (Substance Use Disorder))
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773
MEGAN A FABIAN LPC
Counselor (Addiction (Substance Use Disorder))
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773
JEREMY PAUL QUEBODEAUX CIT
Counselor (Addiction (Substance Use Disorder))
145 VICTORIA DR
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 855-9773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Higginbotham's NPI number?

The NPI number for Bradley Higginbotham is 1396216404. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Bradley Higginbotham located?

Bradley Higginbotham practices at 145 Victoria Dr, Lake Charles, LA 70611. The listed phone number is (337) 855-9773.

What is Bradley Higginbotham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bradley Higginbotham was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.