Healthcare Provider Details

I. General information

NPI: 1477083434
Provider Name (Legal Business Name): TARA HUFF MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARA BROWN

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 ELM ST
GARBERVILLE CA
95542-3204
US

IV. Provider business mailing address

509 ELM ST
GARBERVILLE CA
95542-3204
US

V. Phone/Fax

Practice location:
  • Phone: 707-923-3921
  • Fax:
Mailing address:
  • Phone: 707-923-3921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: