MEDICARE: VICKY MAE HUEY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	46576	CA
2	106H00000X	Marriage & Family Therapist	47521	CA

General Provider Information

NPI Number	:	1689745267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKY MAE HUEY LMFT

Provider Business Mailing Address
First Line	:	1400 SOUTH GRAND AVENUE, SUITE 600
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015
Country	:	US
Telephone Number	:	213-748-2411
Fax Number	:	213-742-6312

Provider Business Practice Location Address
First Line	:	1400 S GRAND AVE STE 600
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3068
Country	:	US
Telephone Number	:	213-748-2411
Fax Number	:	213-742-6312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/21/2022

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Directions to “ VICKY MAE HUEY LMFT” Practice Location

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