Provider Demographics
NPI:1184411548
Name:HUGHES, TATAYANA (LMSW, CMHT)
Entity type:Individual
Prefix:
First Name:TATAYANA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:
Credentials:LMSW, CMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 COUNTY ROAD 118
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:MS
Mailing Address - Zip Code:38851-2010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1330 SUNSET DR
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-4000
Practice Address - Country:US
Practice Address - Phone:662-892-2660
Practice Address - Fax:662-892-2660
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical