Healthcare Provider Details

I. General information

NPI: 1467821314
Provider Name (Legal Business Name): MR. DJUAMIEL HUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DJUAMIEL HUFF CADC/DP

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 11/02/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15941 FAIRFIELD ST
DETROIT MI
48238-4123
US

IV. Provider business mailing address

116 S CHRISTINE CIR
MOUNT CLEMENS MI
48043-1511
US

V. Phone/Fax

Practice location:
  • Phone: 313-345-4310
  • Fax: 313-345-4315
Mailing address:
  • Phone: 313-704-6765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: