Provider Demographics
NPI:1780434530
Name:HUFFMAN, MALIA C (MA)
Entity type:Individual
Prefix:
First Name:MALIA
Middle Name:C
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8245 WILLIAMSON RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-6951
Mailing Address - Country:US
Mailing Address - Phone:540-562-0800
Mailing Address - Fax:540-562-0900
Practice Address - Street 1:8245 WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-6951
Practice Address - Country:US
Practice Address - Phone:540-562-0800
Practice Address - Fax:540-562-0900
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health