Provider Demographics
NPI:1104265941
Name:HUGHES, ERIKA HAYDEN (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:HAYDEN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4542 BLUE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24064-1820
Mailing Address - Country:US
Mailing Address - Phone:540-977-2181
Mailing Address - Fax:540-977-2183
Practice Address - Street 1:2018 YORK RD SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-3442
Practice Address - Country:US
Practice Address - Phone:540-915-7181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health