Provider Demographics
NPI:1659387546
Name:HUGHES, MARION (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARION
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6415 CEDAR GROVE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-2457
Mailing Address - Country:US
Mailing Address - Phone:770-774-8057
Mailing Address - Fax:
Practice Address - Street 1:1249 DONALD LEE HOLLOWELL PKWY NW
Practice Address - Street 2:3 RD FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6657
Practice Address - Country:US
Practice Address - Phone:404-870-3675
Practice Address - Fax:404-870-3697
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0004091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical