Provider Demographics
NPI:1306142237
Name:HUFFMAN, AMANDA (LCSW)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
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 1:3721 EXECUTIVE CENTER DR
Mailing Address - Street 2:BLDG. 11, STE. 265
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1645
Mailing Address - Country:US
Mailing Address - Phone:512-964-1555
Mailing Address - Fax:512-870-9771
Practice Address - Street 1:3721 EXECUTIVE CENTER DR
Practice Address - Street 2:BLDG. 11, STE. 265
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1645
Practice Address - Country:US
Practice Address - Phone:512-964-1555
Practice Address - Fax:512-870-9771
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-10
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50134101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health