Provider Demographics
NPI:1356189252
Name:HUFF, CRYSTAL (LPC)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:
Last Name:HUFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 MARIETTA BLVD NW APT 2453
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2072
Mailing Address - Country:US
Mailing Address - Phone:404-729-5734
Mailing Address - Fax:
Practice Address - Street 1:2265 MARIETTA BLVD NW APT 2453
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2072
Practice Address - Country:US
Practice Address - Phone:404-729-5734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor