Provider Demographics
NPI:1396875480
Name:HUGHES, MARTY I (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARTY
Middle Name:I
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:I
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-312-7605
Mailing Address - Fax:605-312-7611
Practice Address - Street 1:2502 W ELK AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1562
Practice Address - Country:US
Practice Address - Phone:580-252-9600
Practice Address - Fax:580-252-6100
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2988101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health