Provider Demographics
NPI:1871487462
Name:HUGHES, MISTY GAYLE (LMSW)
Entity type:Individual
Prefix:
First Name:MISTY
Middle Name:GAYLE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:MISTY
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1503 LEHMAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1215
Mailing Address - Country:US
Mailing Address - Phone:713-206-5433
Mailing Address - Fax:
Practice Address - Street 1:6210 ROOKIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3718
Practice Address - Country:US
Practice Address - Phone:713-398-3884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114427104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty