Provider Demographics
NPI:1952952327
Name:HUA-BURNS, MEI
Entity type:Individual
Prefix:
First Name:MEI
Middle Name:
Last Name:HUA-BURNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEI
Other - Middle Name:
Other - Last Name:HUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3980 ALVORD DR
Mailing Address - Street 2:
Mailing Address - City:FORT IRWIN
Mailing Address - State:CA
Mailing Address - Zip Code:92310-1514
Mailing Address - Country:US
Mailing Address - Phone:254-275-6559
Mailing Address - Fax:
Practice Address - Street 1:3980 ALVORD DR
Practice Address - Street 2:
Practice Address - City:FORT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310-1514
Practice Address - Country:US
Practice Address - Phone:254-275-6559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12280101YP2500X
TX81821101YP2500X
CA10206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty