Healthcare Provider Details

I. General information

NPI: 1518455518
Provider Name (Legal Business Name): MICHELE MARIE HUFF CSW MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2018
Last Update Date: 04/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 EAST 100 SOUTH
CASTLEDALE UT
84513
US

IV. Provider business mailing address

PO BOX 867
PRICE UT
84501-0867
US

V. Phone/Fax

Practice location:
  • Phone: 435-381-2432
  • Fax: 435-381-2542
Mailing address:
  • Phone: 435-637-7200
  • Fax: 435-637-2377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number3105131-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: