| Hughes Life Counseling, Llc | |
|
711 Canal Ave E Wynne AR 72396 | |
| (870) 587-7020 | |
| (870) 587-3101 |
| Full Name | Hughes Life Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 711 Canal Ave E, Wynne, Arkansas |
| Authorized Official Name and Position | Thomas Clayton Hughes (INCORPORATOR/ORGANIZER) |
| Authorized Official Contact | 8705877020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hughes Life Counseling, Llc 711 Canal Ave E Wynne AR 72396 Ph: (870) 587-7020 | Hughes Life Counseling, Llc 711 Canal Ave E Wynne AR 72396 Ph: (870) 587-7020 |
| NPI Number | 1639668494 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 05/08/2018 |
| Medicare PECOS PAC ID | 7517331366 |
|---|---|
| Medicare Enrollment ID | O20231218004044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639668494 | NPI | - | NPPES |
| 1346447539 | Other | AR | MENTAL HEALTH PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1203034 (Arkansas) | Primary |
| Provider Name | Thomas Clayton Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346447539 PECOS PAC ID: 0749654598 Enrollment ID: I20231218004074 |
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