Provider Demographics
NPI:1811604713
Name:HUFF, PINKIE MARIE (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:PINKIE
Middle Name:MARIE
Last Name:HUFF
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 MONTELL ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-4354
Mailing Address - Country:US
Mailing Address - Phone:513-520-9375
Mailing Address - Fax:
Practice Address - Street 1:710 S 5TH ST
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2814
Practice Address - Country:US
Practice Address - Phone:513-520-9375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204599106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist