Healthcare Provider Details

I. General information

NPI: 1689812950
Provider Name (Legal Business Name): GAIL M HUGHES LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 GRISWOLD STREET HOSPITAL OF CENTRAL CONNECTICUT COUNSELING CENTER
NEW BRITIAN CT
06050
US

IV. Provider business mailing address

50 GRISWOLD STREET HOSPITAL OF CENTRAL CONNECTICUT COUNSELING CENTER
NEW BRITIAN CT
06050
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5267
  • Fax: 860-224-5752
Mailing address:
  • Phone: 860-224-5267
  • Fax: 860-224-5752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000911
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: