Healthcare Provider Details

I. General information

NPI: 1720996911
Provider Name (Legal Business Name): REGINA HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7913 BAINBRIDGE RD
ALEXANDRIA VA
22308-1418
US

IV. Provider business mailing address

7913 BAINBRIDGE RD
ALEXANDRIA VA
22308-1418
US

V. Phone/Fax

Practice location:
  • Phone: 804-347-6158
  • Fax:
Mailing address:
  • Phone: 804-347-6158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0704019307
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: