Healthcare Provider Details

I. General information

NPI: 1174687883
Provider Name (Legal Business Name): ELIZABETH W HUGHES LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETTY W HUGHES LPCC

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 LEITER RD
MIAMISBURG OH
45342-3659
US

IV. Provider business mailing address

2110 LEITER RD
MIAMISBURG OH
45342-3598
US

V. Phone/Fax

Practice location:
  • Phone: 937-384-6920
  • Fax: 937-384-6939
Mailing address:
  • Phone: 937-384-4838
  • Fax: 937-384-4845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0003319
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberE0003319
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: