Provider Demographics
NPI:1245610211
Name:HUGHES, KATHLEEN (PMHCNS)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PMHCNS
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:820 W DIAMOND AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1419
Mailing Address - Country:US
Mailing Address - Phone:301-385-3826
Mailing Address - Fax:301-385-3728
Practice Address - Street 1:7600 CARROLL AVE
Practice Address - Street 2:BEHAVIORAL HEALTH SERVICES
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6367
Practice Address - Country:US
Practice Address - Phone:301-561-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015000449163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult