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NPI Code Detail

MEDICARE: MR. CHAD M HUGHES LPC MHSP

MEDICARE: MR. CHAD M HUGHES LPC MHSP
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
1101YP2500XProfessional CounselorLPC 2505TN

General Provider Information

NPI Number : 1609198217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAD M HUGHES LPC MHSP
Provider Business Mailing Address
First Line : 440 PARK AVE
Second Line :
City : LEBANON
State : TN
Zip : 37087
Country : US
Telephone Number : 615-516-1086
Fax Number :
Provider Business Practice Location Address
First Line : 440 PARK AVE
Second Line :
City : LEBANON
State : TN
Zip : 37087-3664
Country : US
Telephone Number : 615-449-9611
Fax Number : 615-453-7051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2010
Last Update Date : 02/23/2010

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