Provider Demographics
NPI:1134426703
Name:HUGHLETT, DIANE ELIZABETH (MED NCC)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:ELIZABETH
Last Name:HUGHLETT
Suffix:
Gender:F
Credentials:MED NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8554 KY 1232
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-6417
Mailing Address - Country:US
Mailing Address - Phone:606-261-7622
Mailing Address - Fax:606-261-7312
Practice Address - Street 1:8554 KY 1232
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-6417
Practice Address - Country:US
Practice Address - Phone:606-261-7622
Practice Address - Fax:606-261-7312
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X
KY102930101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional