MEDICARE: YASMINE SISOWATH HUGHES MS, LCMHC-A

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
1	101YM0800X	Mental Health Counselor	A21438	NC

General Provider Information

NPI Number	:	1467336297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMINE SISOWATH HUGHES MS, LCMHC-A

Provider Business Mailing Address
First Line	:	1000 PARK FORTY PLZ
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-5249
Country	:	US
Telephone Number	:	919-912-5599
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 FENTON PL
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-4422
Country	:	US
Telephone Number	:	252-515-6279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	12/01/2025

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