| Jody L. Hughes Llc | |
|
202 S. Michigan St Suite 875 South Bend IN 46601-2021 | |
| (574) 855-7730 | |
| (574) 988-0167 |
| Full Name | Jody L. Hughes Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 202 S. Michigan St, South Bend, Indiana |
| Authorized Official Name and Position | Jody Lillich Hughes (OWNER) |
| Authorized Official Contact | 5748557730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody L. Hughes Llc 202 S. Michigan St Suite 875 South Bend IN 46601-2021 Ph: (574) 855-7730 | Jody L. Hughes Llc 202 S. Michigan St Suite 875 South Bend IN 46601-2021 Ph: (574) 855-7730 |
| NPI Number | 1760753909 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760753909 | NPI | - | NPPES |
| 11490425 | Other | CAQH | |
| 1225283039 | Other | INDIVIDUAL NPI. FOR JODY HUGHES. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005886A (Indiana) | Primary |
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