Healthcare Provider Details

I. General information

NPI: 1851219703
Provider Name (Legal Business Name): BRENDAN ELLIOTT HUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 FAIRFAX DR STE 600
ARLINGTON VA
22203-1665
US

IV. Provider business mailing address

900 N STUART ST APT 1703
ARLINGTON VA
22203-4112
US

V. Phone/Fax

Practice location:
  • Phone: 240-973-3516
  • Fax:
Mailing address:
  • Phone: 973-670-1867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704019258
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: