Provider Demographics
NPI:1992901623
Name:HUGHES, LELAND S (LCAS)
Entity type:Individual
Prefix:MR
First Name:LELAND
Middle Name:S
Last Name:HUGHES
Suffix:
Gender:M
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 377
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-0377
Mailing Address - Country:US
Mailing Address - Phone:336-227-2688
Mailing Address - Fax:
Practice Address - Street 1:102 CHESTNUT ST.
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-6804
Practice Address - Country:US
Practice Address - Phone:336-886-5594
Practice Address - Fax:336-886-4160
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS511101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6111919Medicaid