Provider Demographics
NPI:1730764226
Name:HUGHES INTEGRATIVE WELLNESS, INC.
Entity type:Organization
Organization Name:HUGHES INTEGRATIVE WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRITTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-679-7064
Mailing Address - Street 1:PO BOX 5761
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875-5761
Mailing Address - Country:US
Mailing Address - Phone:256-679-7064
Mailing Address - Fax:
Practice Address - Street 1:217 E HANOVER ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-1803
Practice Address - Country:US
Practice Address - Phone:609-515-8411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00510000OtherBEHAVIORAL HEALTH