Healthcare Provider Details

I. General information

NPI: 1275985293
Provider Name (Legal Business Name): MEGAN KIMBERLY HUFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2016
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 BRINKBY AVE STE 250
RENO NV
89509-4348
US

IV. Provider business mailing address

2371 ENTERPRISE RD
RENO NV
89521-7440
US

V. Phone/Fax

Practice location:
  • Phone: 775-857-0706
  • Fax:
Mailing address:
  • Phone: 775-857-0706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10797-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: