Provider Demographics
NPI:1215523006
Name:HUGHES, ELIZABETH ANNE (LPC, QMHP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LPC, QMHP
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:ANNE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, QMHP
Mailing Address - Street 1:909 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-1011
Mailing Address - Country:US
Mailing Address - Phone:605-660-1315
Mailing Address - Fax:
Practice Address - Street 1:909 JAMES ST
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-1011
Practice Address - Country:US
Practice Address - Phone:605-660-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH-30597SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health