Provider Demographics
NPI:1740836659
Name:HUFF, ALLEN (MSSA, LISW-S)
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:
Last Name:HUFF
Suffix:
Gender:M
Credentials:MSSA, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 83058
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-0058
Mailing Address - Country:US
Mailing Address - Phone:614-668-8411
Mailing Address - Fax:614-824-3687
Practice Address - Street 1:223 MAYFAIR BLVD APT D
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2212
Practice Address - Country:US
Practice Address - Phone:614-668-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1.0003681-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty