Provider Demographics
NPI:1033326004
Name:HOUFF, SHIQUITA FONTAE (MHPP)
Entity Type:Individual
Prefix:MS
First Name:SHIQUITA
Middle Name:FONTAE
Last Name:HOUFF
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 WINCHESTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015
Mailing Address - Country:US
Mailing Address - Phone:501-326-6160
Mailing Address - Fax:
Practice Address - Street 1:801 S RODNEY PARHAM RD
Practice Address - Street 2:APT. 25E
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4881
Practice Address - Country:US
Practice Address - Phone:501-353-2620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services