=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891267894
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUFF-HOWARD, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2019
-----------------------------------------------------
Last Update Date | 01/12/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1100 W MAIN ST STE 220
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77375-5524
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-299-8863
-----------------------------------------------------
Fax | 346-336-6119
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22730 NEWCOURT PLACE ST
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77375-1125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-299-8863
-----------------------------------------------------
Fax | 346-336-6119
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/COUNSELOR
-----------------------------------------------------
Name | KIMBERLY KAY HUFF-HOWARD
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 832-299-8863
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------