Healthcare Provider Details

I. General information

NPI: 1245540970
Provider Name (Legal Business Name): JANYELLE S HUFF NLP, HYPNOSIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 09/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 ENTERPRISE DR STE 207
ANDERSON IN
46013-6102
US

IV. Provider business mailing address

2701 ENTERPRISE DR STE 207
ANDERSON IN
46013-6102
US

V. Phone/Fax

Practice location:
  • Phone: 765-298-9040
  • Fax:
Mailing address:
  • Phone: 765-298-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: