Provider Demographics
NPI:1013259340
Name:HUFFMAN, ANTHONY ROSS (LPCC-S)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ROSS
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-3361
Mailing Address - Country:US
Mailing Address - Phone:859-392-3304
Mailing Address - Fax:
Practice Address - Street 1:313 MADISON PIKE
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41017-9413
Practice Address - Country:US
Practice Address - Phone:859-491-4435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 1200416101YM0800X
KY265310101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health