Provider Demographics
NPI:1902269178
Name:HUFF, SUBRENDA (LPC)
Entity Type:Individual
Prefix:
First Name:SUBRENDA
Middle Name:
Last Name:HUFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 CLOVERLEAF SQ STE 1
Mailing Address - Street 2:
Mailing Address - City:BIG STONE GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24219-2752
Mailing Address - Country:US
Mailing Address - Phone:276-220-9569
Mailing Address - Fax:
Practice Address - Street 1:101 FORREST CROSSING BLVD
Practice Address - Street 2:STE 101
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5429
Practice Address - Country:US
Practice Address - Phone:615-567-6726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006517101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional