Provider Demographics
NPI:1598982027
Name:HUGHES-BRAND, NICOLA SHEA (LCSW, LMFT)
Entity Type:Individual
Prefix:MR
First Name:NICOLA
Middle Name:SHEA
Last Name:HUGHES-BRAND
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2276 HARTSFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3455
Mailing Address - Country:US
Mailing Address - Phone:850-383-3156
Mailing Address - Fax:850-575-9445
Practice Address - Street 1:1254 OCALA RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-1548
Practice Address - Country:US
Practice Address - Phone:850-575-8954
Practice Address - Fax:850-575-9445
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLCSW 60271041C0700X
FLLMFT 2039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist