| Doctor Name: | MRS. SABRIE RENEE WIGGINS |
| NPI Number: | 1942604483 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | LC5642 |
| Business Practice Address: | 11001 Frank Tippett Rd Cheltenham, MD - 206231323 |
| Business Phone Number: | 3013965000 |
| Business Fax Number: | 3013965073 |
| Mailing Address: | 401 E Corporate Dr, Suite 220 LEWISVILLE |
| State: | TX |
| Postal Code: | 750576430 |
| Phone Number: | 2143793300 |
| Fax Number: | 2143793322 |
| NPI Enumeration Date: | 10/13/2014 |
| NPI Last Update Date: | 10/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC5642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |