MEDICARE: MR. LINWOOD EARL HUFFMAN LPCA

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	101YM0800X	Mental Health Counselor	A8213	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831493741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LINWOOD EARL HUFFMAN LPCA

Provider Business Mailing Address
First Line	:	2250 SHIPYARD BLVD STE 3
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-8070
Country	:	US
Telephone Number	:	910-791-9625
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 SHIPYARD BLVD STE 3
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-8070
Country	:	US
Telephone Number	:	910-791-9625
Fax Number	:

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

Provider Enumeration Date	:	01/06/2011
Last Update Date	:	01/06/2011

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