Provider Demographics
NPI:1346984572
Name:HUGHENS, PAMELA SHEPARD (LPC, ATP, NCC, TTP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SHEPARD
Last Name:HUGHENS
Suffix:
Gender:F
Credentials:LPC, ATP, NCC, TTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 GALICENO CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8444
Mailing Address - Country:US
Mailing Address - Phone:757-951-3095
Mailing Address - Fax:757-951-3095
Practice Address - Street 1:3010 GALICENO CT
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8444
Practice Address - Country:US
Practice Address - Phone:386-688-4310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health