Healthcare Provider Details

I. General information

NPI: 1568797140
Provider Name (Legal Business Name): ALLISON C HUFFSTETLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 10/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1864 N. NORWOOD DRIVE SUITE D
HURST TX
76054
US

IV. Provider business mailing address

1864 N. NORWOOD DRIVE SUITE D
HURST TX
76054
US

V. Phone/Fax

Practice location:
  • Phone: 817-391-0771
  • Fax: 817-391-0776
Mailing address:
  • Phone: 817-391-0771
  • Fax: 817-391-0776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18490
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: