Provider Demographics
NPI:1326836958
Name:IN BETWEEN PCP AND MED-SPA INC
Entity type:Organization
Organization Name:IN BETWEEN PCP AND MED-SPA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUGHES, AREATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES, AREATHA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:318-294-8519
Mailing Address - Street 1:1732 LAKEFRONT DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71119-3925
Mailing Address - Country:US
Mailing Address - Phone:318-294-8519
Mailing Address - Fax:318-294-8519
Practice Address - Street 1:1732 LAKEFRONT DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71119-3925
Practice Address - Country:US
Practice Address - Phone:318-294-8519
Practice Address - Fax:318-294-8519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care