Healthcare Provider Details

I. General information

NPI: 1649264078
Provider Name (Legal Business Name): LINDA DIANE HUFFHINES EDD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 W COLLEGE SUITE 109
GRAPEVINE TX
76051
US

IV. Provider business mailing address

625 W COLLEGE SUITE 109
GRAPEVINE TX
76051
US

V. Phone/Fax

Practice location:
  • Phone: 817-481-6951
  • Fax: 817-421-7647
Mailing address:
  • Phone: 817-481-6951
  • Fax: 817-421-7647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4671
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2585
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4671
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: