Basic Information
Provider Information
NPI: 1942784798
EntityType: 2
ReplacementNPI:  
OrganizationName: HUFFMAN COUNSELING SERVICES LLC
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Mailing Information
Address1: 4849 N MESA ST STE 201
Address2:  
City: EL PASO
State: TX
PostalCode: 799125919
CountryCode: US
TelephoneNumber: 9153516600
FaxNumber: 9153516601
Practice Location
Address1: 300 E MAIN DR STE 220
Address2:  
City: EL PASO
State: TX
PostalCode: 799011357
CountryCode: US
TelephoneNumber: 9159102060
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/18/2018
LastUpdateDate: 09/24/2021
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: HUFFMAN
AuthorizedOfficialFirstName: AMY
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 9376024992
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 09/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X  Y193400000X SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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