Healthcare Provider Details

I. General information

NPI: 1447175658
Provider Name (Legal Business Name): IMANI HUGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 MAIN ST STE 300
COLUMBIA SC
29201-3266
US

IV. Provider business mailing address

1220 MEREDITH DR UNIT 1002
COLUMBIA SC
29212-0989
US

V. Phone/Fax

Practice location:
  • Phone: 803-383-2254
  • Fax:
Mailing address:
  • Phone:
  • Fax: 803-383-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: