Provider Demographics
NPI:1871754242
Name:HUGHES, STEPHEN R (MA LCMHC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:R
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MA LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 RISE DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5920
Mailing Address - Country:US
Mailing Address - Phone:984-400-3747
Mailing Address - Fax:
Practice Address - Street 1:3126 RISE DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5920
Practice Address - Country:US
Practice Address - Phone:984-400-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7136101YP2500X
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104010Medicaid