Provider Demographics
NPI:1881436301
Name:HUGHES, ELLIE L (PLPC)
Entity type:Individual
Prefix:
First Name:ELLIE
Middle Name:L
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20354 STEVE HUGHES RD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-3329
Mailing Address - Country:US
Mailing Address - Phone:225-316-6007
Mailing Address - Fax:
Practice Address - Street 1:11188 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-2012
Practice Address - Country:US
Practice Address - Phone:225-435-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10173101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health