Healthcare Provider Details

I. General information

NPI: 1669708566
Provider Name (Legal Business Name): CARLA HUGHES LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 2ND AVE SE
CEDAR RAPIDS IA
52403-2357
US

IV. Provider business mailing address

1229 MOUNT LORETTA AVE
DUBUQUE IA
52003-7826
US

V. Phone/Fax

Practice location:
  • Phone: 319-364-7121
  • Fax:
Mailing address:
  • Phone: 563-588-0558
  • Fax: 583-557-3140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number001084
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: