Healthcare Provider Details
I. General information
NPI: 1942784798
Provider Name (Legal Business Name): HUFFMAN COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2018
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 E MAIN DR STE 220
EL PASO TX
79901-1357
US
IV. Provider business mailing address
1605 GEORGE DIETER DR STE 636
EL PASO TX
79936-5600
US
V. Phone/Fax
- Phone: 915-910-2060
- Fax:
- Phone: 915-671-1371
- Fax: 915-219-9022
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
HUFFMAN
Title or Position: OWNER
Credential:
Phone: 937-602-4992