Provider Demographics
NPI:1851843221
Name:HUGHES, SAMANTHA MARIE (MA)
Entity Type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 1/2 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-2484
Mailing Address - Country:US
Mailing Address - Phone:231-357-6760
Mailing Address - Fax:
Practice Address - Street 1:903 1/2 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-2484
Practice Address - Country:US
Practice Address - Phone:231-357-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health