MEDICARE: TANYA HUGHES LPC

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	12634	NC
2	101YP2500X	Professional Counselor	A12634	NC

General Provider Information

NPI Number	:	1316482003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA HUGHES LPC

Provider Business Mailing Address
First Line	:	6632 RUSTIC VIEW CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-1833
Country	:	US
Telephone Number	:	704-258-6910
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 J N PEASE PL STE 104
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4541
Country	:	US
Telephone Number	:	704-548-5298
Fax Number	:

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

Provider Enumeration Date	:	01/04/2017
Last Update Date	:	05/13/2019

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