MEDICARE: DR. JANICE ANN HUGHES M.A. L.C.S.W. ED.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	SW6531	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z-9719	OTHER	FL	BLUE CROSS BLUE SHIELD #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073727145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE ANN HUGHES M.A. L.C.S.W. ED.D.

Provider Business Mailing Address
First Line	:	4725 SW 23RD AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6720
Country	:	US
Telephone Number	:	239-549-2940
Fax Number	:	239-549-0233

Provider Business Practice Location Address
First Line	:	4725 SW 23RD AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6720
Country	:	US
Telephone Number	:	239-549-2940
Fax Number	:	239-549-0233

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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