Wiggins, Vernon Archie
Wiggins, Vernon Archie is an sole proprietor health care provider with primary practice located at 11035 Forest Gln , Beaumont TX 77713-9003. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wiggins, Vernon Archie can be contacted via phone (210) 323-3153.Contact Information
Primary practice address
11035 Forest Gln
Beaumont TX 77713-9003
Phone: (210) 323-3153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 79828 | Texas |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1479 | Texas |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-14-17593 | Colorado |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT034888 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH61560733 | Washington |
Profile Details
| NPI number | 1629505573 |
|---|---|
| LBN Legal business name | Wiggins, Vernon Archie |
| Credentials | BCBA, LPC, LBA, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2017 |
| Last updated | Jun 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629505573 | NPPES |
| Washington | Other | 101YM0800X | LICENSED MENTAL HEALTH COUNSELOR |
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