Provider Demographics
NPI:1992203632
Name:HUFFMAN, HANNAH (LCMHC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 E UNIONVILLE INDIAN TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-8217
Mailing Address - Country:US
Mailing Address - Phone:980-292-1467
Mailing Address - Fax:980-206-3398
Practice Address - Street 1:506 S SUTHERLAND AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5061
Practice Address - Country:US
Practice Address - Phone:980-292-1467
Practice Address - Fax:980-206-3398
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC474264859OtherTAX IDENTIFICATION NUMBER