Provider Demographics
NPI:1407903107
Name:HUGHES, WILLIAM (LMHC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:HUGHES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 KINGSLEY AVE
Mailing Address - Street 2:SUITE 18A
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4535
Mailing Address - Country:US
Mailing Address - Phone:904-269-3324
Mailing Address - Fax:904-264-2302
Practice Address - Street 1:1543 KINGSLEY AVE
Practice Address - Street 2:SUITE 18A
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4535
Practice Address - Country:US
Practice Address - Phone:904-269-3324
Practice Address - Fax:904-264-2302
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health