Provider Demographics
NPI:1285224915
Name:HUFF, PAMELA DIANNE (BA)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:DIANNE
Last Name:HUFF
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COUNCIL OF THE SOUTHERN MOUNTAINS
Mailing Address - Street 2:148 MCDOWELL ST
Mailing Address - City:WELCH
Mailing Address - State:WV
Mailing Address - Zip Code:24801
Mailing Address - Country:US
Mailing Address - Phone:304-436-6800
Mailing Address - Fax:
Practice Address - Street 1:704 BLAND STREET
Practice Address - Street 2:
Practice Address - City:BLUFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701
Practice Address - Country:US
Practice Address - Phone:304-327-5305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator