Provider Demographics
NPI:1295948552
Name:HUGHES, JAMES L (PHD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:HUGHES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1155
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077-1155
Mailing Address - Country:US
Mailing Address - Phone:615-822-1222
Mailing Address - Fax:615-822-8306
Practice Address - Street 1:131 SANDERS FERRY RD STE 203
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3662
Practice Address - Country:US
Practice Address - Phone:615-822-1222
Practice Address - Fax:615-822-8306
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1708103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1521630Medicaid