Healthcare Provider Details

I. General information

NPI: 1144743873
Provider Name (Legal Business Name): MRS. LUISA GIOFFRE HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2672 DERBY DR
DELTONA FL
32738-1728
US

IV. Provider business mailing address

2672 DERBY DR
DELTONA FL
32738-1728
US

V. Phone/Fax

Practice location:
  • Phone: 386-287-1242
  • Fax:
Mailing address:
  • Phone: 386-287-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberBH003283
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: