Provider Demographics
NPI:1275755118
Name:HUFFMAN, DARLA DON (LCSW)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:DON
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4319 WHITELEAF CT
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4950
Mailing Address - Country:US
Mailing Address - Phone:950-723-1590
Mailing Address - Fax:
Practice Address - Street 1:151 ELLYSON AVE
Practice Address - Street 2:FLEET AND FAMILY SUPPORT CENTER
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32508-5239
Practice Address - Country:US
Practice Address - Phone:850-452-5990
Practice Address - Fax:850-452-2586
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00022211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical