Healthcare Provider Details

I. General information

NPI: 1992203632
Provider Name (Legal Business Name): HANNAH HUFFMAN LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 S SUTHERLAND AVE
MONROE NC
28112-5061
US

IV. Provider business mailing address

518 E UNIONVILLE INDIAN TRAIL RD
MONROE NC
28110-8217
US

V. Phone/Fax

Practice location:
  • Phone: 980-292-1467
  • Fax: 980-206-3398
Mailing address:
  • Phone: 980-292-1467
  • Fax: 980-206-3398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13359
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: