Healthcare Provider Details

I. General information

NPI: 1770108870
Provider Name (Legal Business Name): FRANCHESCA HUFFMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 MUTUAL DR STE A
FORT WAYNE IN
46825-4238
US

IV. Provider business mailing address

6315 MUTUAL DR STE A
FORT WAYNE IN
46825-4238
US

V. Phone/Fax

Practice location:
  • Phone: 260-333-5344
  • Fax:
Mailing address:
  • Phone: 260-333-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39004501A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: