Provider Demographics
NPI:1063685048
Name:HUFF, STACE W (LPC)
Entity type:Individual
Prefix:MRS
First Name:STACE
Middle Name:W
Last Name:HUFF
Suffix:
Gender:F
Credentials:LPC
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Mailing Address - Street 1:1830 WATER PL SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-7407
Mailing Address - Country:US
Mailing Address - Phone:770-916-9031
Mailing Address - Fax:770-916-9030
Practice Address - Street 1:1830 WATER PL SE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7407
Practice Address - Country:US
Practice Address - Phone:770-916-9031
Practice Address - Fax:770-916-9030
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC004268101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional