Healthcare Provider Details

I. General information

NPI: 1356189252
Provider Name (Legal Business Name): CRYSTAL HUFF LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 09/07/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 PEACHFORD RD
ATLANTA GA
30338-6534
US

IV. Provider business mailing address

2265 MARIETTA BLVD NW
ATLANTA GA
30318-2027
US

V. Phone/Fax

Practice location:
  • Phone: 770-455-3200
  • Fax:
Mailing address:
  • Phone: 404-729-5734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: