Provider Demographics
NPI:1598020513
Name:KIM ENGEL-HUGHES, LPC, LLC
Entity Type:Organization
Organization Name:KIM ENGEL-HUGHES, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPIST, LLC PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGEL-HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NBCC
Authorized Official - Phone:803-547-1106
Mailing Address - Street 1:1750 HIGHWAY 160 W
Mailing Address - Street 2:SUITE 101, PMB 200
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8009
Mailing Address - Country:US
Mailing Address - Phone:803-547-1106
Mailing Address - Fax:
Practice Address - Street 1:1700 FIRST BAXTER XING
Practice Address - Street 2:SUITE 204
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8948
Practice Address - Country:US
Practice Address - Phone:803-547-1106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4749101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty