Provider Demographics
NPI:1386703536
Name:HUANES, MARIA G (LMSW, CAC-I)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:HUANES
Suffix:
Gender:F
Credentials:LMSW, CAC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 RIVER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2394
Mailing Address - Country:US
Mailing Address - Phone:248-952-1442
Mailing Address - Fax:
Practice Address - Street 1:20600 EUREKA RD STE 819
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-5377
Practice Address - Country:US
Practice Address - Phone:734-285-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010772411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical