Provider Demographics
NPI:1649264078
Name:HUFFHINES, LINDA DIANE (EDD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:DIANE
Last Name:HUFFHINES
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 W COLLEGE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051
Mailing Address - Country:US
Mailing Address - Phone:817-481-6951
Mailing Address - Fax:817-421-7647
Practice Address - Street 1:625 W COLLEGE
Practice Address - Street 2:SUITE 109
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051
Practice Address - Country:US
Practice Address - Phone:817-481-6951
Practice Address - Fax:817-421-7647
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4671101YP2500X, 101Y00000X
TX2585106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor