Healthcare Provider Details

I. General information

NPI: 1093569253
Provider Name (Legal Business Name): WILLIAM DAVID HUGHES LMHC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 W CARMEL DR STE D4
CARMEL IN
46032-8708
US

IV. Provider business mailing address

224 CAPE MAY DR
WESTFIELD IN
46074-9191
US

V. Phone/Fax

Practice location:
  • Phone: 317-569-5433
  • Fax:
Mailing address:
  • Phone: 812-861-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: