Provider Demographics
NPI:1841673001
Name:HUGHES, RHYAN (LCAS-A)
Entity type:Individual
Prefix:
First Name:RHYAN
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 KEYS CT
Mailing Address - Street 2:APT. 3
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-6438
Mailing Address - Country:US
Mailing Address - Phone:908-892-5286
Mailing Address - Fax:
Practice Address - Street 1:177 KEYS CT
Practice Address - Street 2:APT. 3
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-6438
Practice Address - Country:US
Practice Address - Phone:908-892-5286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21896101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)