Provider Demographics
NPI:1821749649
Name:HOUFF, TERRI RENE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:RENE
Last Name:HOUFF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 FARMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-1805
Mailing Address - Country:US
Mailing Address - Phone:470-255-1113
Mailing Address - Fax:
Practice Address - Street 1:1755 WOODSTOCK RD STE 200
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2135
Practice Address - Country:US
Practice Address - Phone:770-322-4591
Practice Address - Fax:470-201-2031
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001915106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist