Provider Demographics
NPI:1750135877
Name:HUGHES, JUDY LYNN (MED, LPC)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:LYNN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-3733
Mailing Address - Country:US
Mailing Address - Phone:817-304-3893
Mailing Address - Fax:
Practice Address - Street 1:1213 N OAK AVE
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-3733
Practice Address - Country:US
Practice Address - Phone:817-304-3893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89970101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional