Healthcare Provider Details

I. General information

NPI: 1245325919
Provider Name (Legal Business Name): CHRISTIAN LYNNE HUGHES MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1659 SOUTH BREIEL BLVD
MIDDLETOWN OH
45044-6705
US

IV. Provider business mailing address

8809B CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3134
US

V. Phone/Fax

Practice location:
  • Phone: 513-424-0921
  • Fax: 513-424-4810
Mailing address:
  • Phone: 513-594-1507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI 0010181
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberI-0010181
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberI-0010181
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: