Provider Demographics
NPI:1922712017
Name:NOTOR HUGHES COUNSELING, LLC
Entity type:Organization
Organization Name:NOTOR HUGHES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:NOTOR HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:505-513-9834
Mailing Address - Street 1:2301 E 20TH ST UNIT 5526
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87499-7185
Mailing Address - Country:US
Mailing Address - Phone:505-513-9834
Mailing Address - Fax:
Practice Address - Street 1:2120 SULLIVAN AVE #25
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-4324
Practice Address - Country:US
Practice Address - Phone:505-513-9834
Practice Address - Fax:505-325-4323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM13388011Medicaid