Healthcare Provider Details

I. General information

NPI: 1306208947
Provider Name (Legal Business Name): AMY HUFFMAN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 10TH ST STE W
ALAMOGORDO NM
88310-6777
US

IV. Provider business mailing address

23 CROSS CREEK RD
TULAROSA NM
88352-9216
US

V. Phone/Fax

Practice location:
  • Phone: 575-495-2873
  • Fax:
Mailing address:
  • Phone: 937-602-4992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number86131
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0196781
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: