Provider Demographics
NPI:1043230170
Name:HUFFMAN, DOREEN LIMA (LMHC, RN, PMH-NP)
Entity Type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:LIMA
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:LMHC, RN, PMH-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 WAREHAM RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-1111
Mailing Address - Country:US
Mailing Address - Phone:508-748-2466
Mailing Address - Fax:
Practice Address - Street 1:13 N 6TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6125
Practice Address - Country:US
Practice Address - Phone:774-929-7420
Practice Address - Fax:508-742-1746
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2298750363LP0808X
MA7438101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7438OtherLMHC
MARN2298750OtherPMH-NP
MARN2298750OtherRN