Healthcare Provider Details

I. General information

NPI: 1578703641
Provider Name (Legal Business Name): VINCENT PAUL HUGHES M.A. LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 CREWS RD STE F15
MATTHEWS NC
28105-8514
US

IV. Provider business mailing address

1150 CREWS RD STE F15
MATTHEWS NC
28105-8514
US

V. Phone/Fax

Practice location:
  • Phone: 704-918-8180
  • Fax: 888-972-8983
Mailing address:
  • Phone: 704-918-8180
  • Fax: 888-972-8983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1421
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: