Provider Demographics
NPI:1316151400
Name:HUGHES, BETTY (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3854 SHERIDAN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3630
Mailing Address - Country:US
Mailing Address - Phone:954-981-5626
Mailing Address - Fax:
Practice Address - Street 1:3854 SHERIDAN ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3630
Practice Address - Country:US
Practice Address - Phone:954-981-5626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2016-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1270101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health