Provider Demographics
NPI:1396261475
Name:HUGHES, KENDRA (MS, LPC, LMFT)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 BUCKHORN FLATS RD STE 1
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-9612
Mailing Address - Country:US
Mailing Address - Phone:479-319-6579
Mailing Address - Fax:
Practice Address - Street 1:780 BUCKHORN FLATS RD STE 1
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72713-9612
Practice Address - Country:US
Practice Address - Phone:479-319-6579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1708256101YP2500X, 101YM0800X
ARM2004006101YM0800X
ARF1708007101YP2500X
ARP2004002101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional