Healthcare Provider Details

I. General information

NPI: 1336489111
Provider Name (Legal Business Name): AMBER HUFF LLBSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2715 S TOWNLINE RD
HOUGHTON LAKE MI
48629-9294
US

IV. Provider business mailing address

2715 S. TOWN LINE RD
PRUDENVILLE MI
48629-9294
US

V. Phone/Fax

Practice location:
  • Phone: 989-366-2959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number6802086353
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: