Healthcare Provider Details

I. General information

NPI: 1518898790
Provider Name (Legal Business Name): LILIANA MARIE HUGHES LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 SERENITY LN
HERON MT
59844-9502
US

IV. Provider business mailing address

54 SERENITY LN
HERON MT
59844-9502
US

V. Phone/Fax

Practice location:
  • Phone: 888-796-5484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberBBH-PCLC-LIC81097
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: