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General NPI Number Information
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NPI Number | 1639668494
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Entity Type | Organization
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Legal Business Name | HUGHES LIFE COUNSELING, LLC
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 619 CANAL AVE E
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City | WYNNE
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State | AR
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Zip | 72396-3003
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Country | US
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Telephone | 870-587-7020
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Fax | 870-587-7020
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Provider Business Mailing Address
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Address Line | 619 CANAL AVE E
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City | WYNNE
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State | AR
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Zip | 72396-3003
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Country | US
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Telephone | 870-587-7020
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Fax | 870-587-3101
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Authorized Official
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Title or Position | INCORPORATOR/ORGANIZER
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Name | MR. THOMAS CLAYTON HUGHES
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Credential | LPC/CRC
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Telephone | 870-587-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P1203034
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License Number State | AR
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