Provider Demographics
NPI:1871754242
Name:HUGHES, STEPHEN R (MA LPC-S LPC NCC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:R
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MA LPC-S LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CHICKASAW CIR
Mailing Address - Street 2:SUITE 154
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-5229
Mailing Address - Country:US
Mailing Address - Phone:919-559-1146
Mailing Address - Fax:
Practice Address - Street 1:110 CHICKASAW CIR
Practice Address - Street 2:SUITE 154
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-5229
Practice Address - Country:US
Practice Address - Phone:919-559-1146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0392101YP2500X
NC7136101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104010Medicaid