Provider Demographics
NPI:1568633519
Name:HUGHES, MICHELLE E (LCSW LSOTP)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:E
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LCSW LSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 LYNDALE DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77562-4011
Mailing Address - Country:US
Mailing Address - Phone:832-723-5150
Mailing Address - Fax:
Practice Address - Street 1:405 LYNDALE DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:TX
Practice Address - Zip Code:77562-4011
Practice Address - Country:US
Practice Address - Phone:832-723-5150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX346141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical