Provider Demographics
NPI:1699945097
Name:HUFFMAN, FAYOLA D (LPC)
Entity type:Individual
Prefix:MS
First Name:FAYOLA
Middle Name:D
Last Name:HUFFMAN
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 1:4144 N CENTRAL EXPY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3131
Mailing Address - Country:US
Mailing Address - Phone:214-540-4917
Mailing Address - Fax:214-217-0609
Practice Address - Street 1:4144 N CENTRAL EXPY STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3131
Practice Address - Country:US
Practice Address - Phone:214-540-4917
Practice Address - Fax:214-217-0609
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health