Healthcare Provider Details

I. General information

NPI: 1851861298
Provider Name (Legal Business Name): MONICA LYNNE HUGHEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA LYNNE DEERING

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SUGAR CREEK RD
PIEDMONT MO
63957-9607
US

IV. Provider business mailing address

5 SUGAR CREEK RD
PIEDMONT MO
63957-9607
US

V. Phone/Fax

Practice location:
  • Phone: 573-223-7649
  • Fax:
Mailing address:
  • Phone: 573-223-7649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2020004376
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: