Healthcare Provider Details

I. General information

NPI: 1295245405
Provider Name (Legal Business Name): KAREN LYNN HUFF MA,LMHC,CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 10/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E OAK AVE
TAMPA FL
33602-2344
US

IV. Provider business mailing address

605 FATHOM CT
TAMPA FL
33602-5794
US

V. Phone/Fax

Practice location:
  • Phone: 813-579-0868
  • Fax: 813-237-3236
Mailing address:
  • Phone: 813-579-0868
  • Fax: 813-237-3236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5562
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: