Provider Demographics
NPI:1952131625
Name:HUGHES, JUSTINE (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4361 S CONGRESS AVE UNIT 434
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1293
Mailing Address - Country:US
Mailing Address - Phone:646-660-0062
Mailing Address - Fax:
Practice Address - Street 1:4361 S CONGRESS AVE UNIT 434
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1293
Practice Address - Country:US
Practice Address - Phone:646-660-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205559106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty