Provider Demographics
NPI:1528005386
Name:MCHUGH, PAULA (CCSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:CCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 HAYWOOD KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-8705
Mailing Address - Country:US
Mailing Address - Phone:828-230-5815
Mailing Address - Fax:
Practice Address - Street 1:136 HAYWOOD KNOLLS DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-8705
Practice Address - Country:US
Practice Address - Phone:828-230-5815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO14621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC56781OtherBLUE CROSS BLUE SHIELD NC
NC56781OtherBLUE CROSS BLUE SHIELD NC