Provider Demographics
NPI:1225345093
Name:HUGHES, CHERYL (LCSW, CSW-G)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LCSW, CSW-G
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7404 LAZY HAMMOCK WAY
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-7731
Mailing Address - Country:US
Mailing Address - Phone:678-451-8693
Mailing Address - Fax:770-783-8927
Practice Address - Street 1:3617 BRASELTON HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-4667
Practice Address - Country:US
Practice Address - Phone:678-451-8693
Practice Address - Fax:770-783-8927
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0038061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical