Provider Demographics
NPI:1710572896
Name:VICTORY COUNSELING AND THERAPY LLC
Entity Type:Organization
Organization Name:VICTORY COUNSELING AND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:JR
Authorized Official - Credentials:LICSW, LCSW
Authorized Official - Phone:561-206-2132
Mailing Address - Street 1:2029 OKEECHOBEE BLVD # 1027
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-4131
Mailing Address - Country:US
Mailing Address - Phone:561-206-2132
Mailing Address - Fax:
Practice Address - Street 1:2029 OKEECHOBEE BLVD # 1027
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-4131
Practice Address - Country:US
Practice Address - Phone:561-206-2132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health