Healthcare Provider Details

I. General information

NPI: 1366933244
Provider Name (Legal Business Name): KIMBERLY KAY HUFF-HOWARD LPC AND LCDC INTERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2018
Last Update Date: 05/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HOUSTON ST
TOMBALL TX
77375-4759
US

IV. Provider business mailing address

500 MASON ST
TOMBALL TX
77375-4450
US

V. Phone/Fax

Practice location:
  • Phone: 281-255-9922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number76534
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: