Healthcare Provider Details
I. General information
NPI: 1861107906
Provider Name (Legal Business Name): HADLEY HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/23/2023
Last Update Date: 06/12/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
340 N MAIN ST STE 200
PLYMOUTH MI
48170-1250
US
IV. Provider business mailing address
340 N MAIN ST STE 200
PLYMOUTH MI
48170-1250
US
V. Phone/Fax
- Phone: 734-335-0028
- Fax:
- Phone: 734-335-0028
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 6801119996 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: