Organization
JODY L. HUGHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY LILLICH HUGHES LCSW (OWNER)
(574) 855-7730
Entity
Organization
Contact information
Practice address
202 S. MICHIGAN ST, SUITE 875, SOUTH BEND, IN 46601-2021
(574) 855-7730
(574) 988-0167
Mailing address
202 S. MICHIGAN ST, SUITE 875, SOUTH BEND, IN 46601-2021
(574) 855-7730
(574) 988-0167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005886A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11490425
CAQH
—
01
—
1225283039
INDIVIDUAL NPI. FOR JODY HUGHES.
—
Enumeration date
01/19/2012
Last updated
01/19/2012
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