Healthcare Provider Details

I. General information

NPI: 1043140676
Provider Name (Legal Business Name): TRACY HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PARK AVE SUITE 1
SWARTHMORE PA
19081-1729
US

IV. Provider business mailing address

100 PARK AVE REAR 1
SWARTHMORE PA
19081-1729
US

V. Phone/Fax

Practice location:
  • Phone: 215-385-5158
  • Fax:
Mailing address:
  • Phone: 215-385-5158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: