Provider Demographics
NPI:1497961783
Name:MCHUGH, MANDY (MSW)
Entity Type:Individual
Prefix:
First Name:MANDY
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 721754
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73172-1828
Mailing Address - Country:US
Mailing Address - Phone:405-706-0967
Mailing Address - Fax:
Practice Address - Street 1:6666 NW 39TH EXPY
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-2760
Practice Address - Country:US
Practice Address - Phone:405-706-0967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor