Provider Demographics
NPI:1396519716
Name:WILLIHNGANZ HUFFMAN, HEATHER MARY (PHD, EDM, LCSW)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MARY
Last Name:WILLIHNGANZ HUFFMAN
Suffix:
Gender:F
Credentials:PHD, EDM, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 S 8TH ST # 38095
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-1933
Mailing Address - Country:US
Mailing Address - Phone:719-866-7670
Mailing Address - Fax:
Practice Address - Street 1:2514 W COLORADO AVE STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3074
Practice Address - Country:US
Practice Address - Phone:719-886-7670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099306171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical