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NPI Code Detail

MEDICARE: TIMOTHY RAY HUGHES LPE-I, AADC, CS

MEDICARE: TIMOTHY RAY HUGHES LPE-I, AADC, CS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor12-10EIAR
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1215221734
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY RAY HUGHES LPE-I, AADC, CS
Provider Business Mailing Address
First Line : 2600 W MAIN ST
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-2535
Country : US
Telephone Number : 833-479-4325
Fax Number :
Provider Business Practice Location Address
First Line : 2600 W MAIN ST
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-2535
Country : US
Telephone Number : 833-479-4325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 04/08/2026

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