Healthcare Provider Details

I. General information

NPI: 1871599167
Provider Name (Legal Business Name): LARRY L HUEY LSCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 SW 28TH ST STE F
TOPEKA KS
66614-2302
US

IV. Provider business mailing address

5040 SW 28TH ST STE F
TOPEKA KS
66614-2302
US

V. Phone/Fax

Practice location:
  • Phone: 785-272-2266
  • Fax: 785-273-9972
Mailing address:
  • Phone: 785-272-2266
  • Fax: 785-273-9972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW 1212
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: