Provider Demographics
NPI:1568884567
Name:HUGGINS, THERESA ANN
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:ANN
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1845
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-1845
Mailing Address - Country:US
Mailing Address - Phone:256-236-5554
Mailing Address - Fax:256-236-5543
Practice Address - Street 1:4616 MCCLELLAN BLVD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36206-1859
Practice Address - Country:US
Practice Address - Phone:256-236-5554
Practice Address - Fax:256-236-5543
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL002144101YP2500X
GA003833101YP2500X
AL0547101YP2500X
AL246322101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional