Provider Demographics
NPI:1871309849
Name:HUFF, COURTNEY ALLYSON (LPC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ALLYSON
Last Name:HUFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ALLYSON
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 W PEARL ST
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-1894
Mailing Address - Country:US
Mailing Address - Phone:178-579-4400
Mailing Address - Fax:
Practice Address - Street 1:1715 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6419
Practice Address - Country:US
Practice Address - Phone:817-579-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional