MEDICARE: JANET O HUGHES M.S.

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	101YP2500X	Professional Counselor	LPC002217	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306956388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET O HUGHES M.S.

Provider Business Mailing Address
First Line	:	PO BOX 425
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30086-0425
Country	:	US
Telephone Number	:	770-240-8372
Fax Number	:	770-442-7774

Provider Business Practice Location Address
First Line	:	11815 NORTHFALL LN STE 1006
Second Line	:	SUITE 1006
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-7973
Country	:	US
Telephone Number	:	770-240-8372
Fax Number	:	770-442-7774

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	11/01/2016

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