Provider Demographics
NPI:1417849746
Name:GOINES HUGHES, OPAL
Entity type:Individual
Prefix:
First Name:OPAL
Middle Name:
Last Name:GOINES HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11411 GREENHOUSE RD APT 226
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0314
Mailing Address - Country:US
Mailing Address - Phone:708-915-9787
Mailing Address - Fax:
Practice Address - Street 1:2855 MANGUM RD # A415
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-7493
Practice Address - Country:US
Practice Address - Phone:255-454-8088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)