Provider Demographics
NPI:1326340142
Name:HUGGINS, COLLEEN HELEN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:HELEN
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1242
Mailing Address - Country:US
Mailing Address - Phone:413-429-7814
Mailing Address - Fax:
Practice Address - Street 1:100 DAN FOX DR
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8230
Practice Address - Country:US
Practice Address - Phone:413-429-7814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8124172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker