Provider Demographics
NPI:1669898094
Name:HUGHES, PHILIP D (MA, PC)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:D
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MA, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26585 BASSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-7246
Mailing Address - Country:US
Mailing Address - Phone:419-740-0419
Mailing Address - Fax:
Practice Address - Street 1:26585 BASSWOOD DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-7246
Practice Address - Country:US
Practice Address - Phone:419-740-0419
Practice Address - Fax:419-936-7606
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2202950101YM0800X
OHC.1300309101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional