Provider Demographics
NPI:1295245405
Name:HUFF, KAREN LYNN (MA,LMHC,CRC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:HUFF
Suffix:
Gender:F
Credentials:MA,LMHC,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 FATHOM CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5794
Mailing Address - Country:US
Mailing Address - Phone:813-579-0868
Mailing Address - Fax:813-237-3236
Practice Address - Street 1:308 E OAK AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-2344
Practice Address - Country:US
Practice Address - Phone:813-579-0868
Practice Address - Fax:813-237-3236
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5562101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health