Healthcare Provider Details

I. General information

NPI: 1710572896
Provider Name (Legal Business Name): VICTORY COUNSELING AND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 09/15/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 OKEECHOBEE BLVD # 1027
WEST PALM BEACH FL
33409-4131
US

IV. Provider business mailing address

2029 OKEECHOBEE BLVD # 1027
WEST PALM BEACH FL
33409-4131
US

V. Phone/Fax

Practice location:
  • Phone: 561-206-2132
  • Fax:
Mailing address:
  • Phone: 561-206-2132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PERRY HUFF JR.
Title or Position: THERAPIST/OWNER
Credential: LICSW, LCSW
Phone: 561-206-2132