Healthcare Provider Details

I. General information

NPI: 1255053328
Provider Name (Legal Business Name): LUCY HUFFMAN AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 PRICE ST
PISMO BEACH CA
93449-2218
US

IV. Provider business mailing address

PO BOX 3606
PASO ROBLES CA
93447-3606
US

V. Phone/Fax

Practice location:
  • Phone: 820-777-5251
  • Fax:
Mailing address:
  • Phone: 805-769-8886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT145070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: