Healthcare Provider Details

I. General information

NPI: 1275755118
Provider Name (Legal Business Name): DARLA DON HUFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 ELLYSON AVE FLEET AND FAMILY SUPPORT CENTER
PENSACOLA FL
32508-5239
US

IV. Provider business mailing address

4319 WHITELEAF CT
PENSACOLA FL
32504-4950
US

V. Phone/Fax

Practice location:
  • Phone: 850-452-5990
  • Fax: 850-452-2586
Mailing address:
  • Phone: 950-723-1590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0002221
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: