Provider Demographics
NPI:1013622729
Name:HUGHES, VANTRANIQUE ( VANNA) T (MA,LCDC,CSAT-C)
Entity type:Individual
Prefix:MRS
First Name:VANTRANIQUE ( VANNA)
Middle Name:T
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA,LCDC,CSAT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 PARK HILL DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1340
Mailing Address - Country:US
Mailing Address - Phone:817-829-1214
Mailing Address - Fax:
Practice Address - Street 1:3209 PARK HILL DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1340
Practice Address - Country:US
Practice Address - Phone:817-829-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CSAT-2021-3573101Y00000X
TX16075101YA0400X
TX99741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty