Provider Demographics
NPI:1881264497
Name:HUGHES, NATHANIEL WISE (LPC-MHSP(T))
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:WISE
Last Name:HUGHES
Suffix:
Gender:
Credentials:LPC-MHSP(T)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 RUTH LN
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-6539
Mailing Address - Country:US
Mailing Address - Phone:423-314-2555
Mailing Address - Fax:
Practice Address - Street 1:620 E 11TH ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3101
Practice Address - Country:US
Practice Address - Phone:423-481-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-26
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
TN7230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist