MEDICARE: VESTORI HUGHES

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1700894730	OTHER		MENTAL HEALTH COUNSELOR

General Provider Information

NPI Number	:	1649931908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VESTORI HUGHES

Provider Business Mailing Address
First Line	:	302 N JACKSON ST
Second Line	:
City	:	STARKVILLE
State	:	MS
Zip	:	39759-2504
Country	:	US
Telephone Number	:	662-323-3918
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 COURT STREET
Second Line	:
City	:	WEST POINT
State	:	MS
Zip	:	39773-2009
Country	:	US
Telephone Number	:	662-494-7060
Fax Number	:

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

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	08/14/2023

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Directions to “ VESTORI HUGHES ” Practice Location

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