Healthcare Provider Details

I. General information

NPI: 1942835566
Provider Name (Legal Business Name): DEJION C HUGHES LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13822 AVOCADO DR
DENHAM SPRINGS LA
70726-8213
US

IV. Provider business mailing address

13822 AVOCADO DR
DENHAM SPRINGS LA
70726-8213
US

V. Phone/Fax

Practice location:
  • Phone: 225-223-8302
  • Fax:
Mailing address:
  • Phone: 225-223-8302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15978
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number15978
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: