Organization Name: | HUGHLEYS MENTAL HEALTH SERVCIES |
NPI Number: | 1043618424 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAUN D SKYRM (ADMINISTRATOR) |
Mailing Address: | 205 Forest Park Cir Panama City |
State: | FL US |
Postal Code: | 324054916 |
Phone Number: | 8508962252 |
Fax Number: | 3307733698 |
NPI Enumeration Date: | 12/16/2014 |
NPI Last Update Date: | 12/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH11670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |