Healthcare Provider Details

I. General information

NPI: 1780142901
Provider Name (Legal Business Name): SCOTT C HUFF PHD LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2019
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UHC 102
WARRENSBURG MO
64093
US

IV. Provider business mailing address

936 PRESCELLY PL
CHARLOTTESVILLE VA
22901-3760
US

V. Phone/Fax

Practice location:
  • Phone: 660-543-8290
  • Fax:
Mailing address:
  • Phone: 435-233-7819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717001647
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2017039379
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: