Healthcare Provider Details

I. General information

NPI: 1952233694
Provider Name (Legal Business Name): MADISON ELIZABETH MCHUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25101 CHAGRIN BLVD STE 200
BEACHWOOD OH
44122-5656
US

IV. Provider business mailing address

25101 CHAGRIN BLVD STE 200
BEACHWOOD OH
44122-5656
US

V. Phone/Fax

Practice location:
  • Phone: 440-241-2180
  • Fax:
Mailing address:
  • Phone: 440-241-2180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2608307
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: