Healthcare Provider Details

I. General information

NPI: 1346447539
Provider Name (Legal Business Name): THOMAS CLAYTON HUGHES LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 CANAL AVE E
WYNNE AR
72396-3003
US

IV. Provider business mailing address

619 CANAL AVE E
WYNNE AR
72396-3003
US

V. Phone/Fax

Practice location:
  • Phone: 870-587-7020
  • Fax: 870-587-7020
Mailing address:
  • Phone: 870-587-7020
  • Fax: 870-587-7020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1203034
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: