Provider Demographics
NPI:1619616430
Name:HUFF, CATHY ANN
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:HUFF
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 1:681 LETNER RD
Mailing Address - Street 2:
Mailing Address - City:HELENWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37755-5196
Mailing Address - Country:US
Mailing Address - Phone:423-215-4130
Mailing Address - Fax:
Practice Address - Street 1:681 LETNER RD
Practice Address - Street 2:
Practice Address - City:HELENWOOD
Practice Address - State:TN
Practice Address - Zip Code:37755-5196
Practice Address - Country:US
Practice Address - Phone:423-215-4130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health