Mattie Boyd Hughlett | Memphis, TN • PECOS Search

Mattie Boyd Hughlett

Social Worker

Behavioral Health & Social Service Providers

1420 Union Ave, Suite 230, Memphis, TN 38104-3695

(901) 276-0220 (901) 372-9442

PECOS Enrollment

Based on the most recent information from CMS, provider Mattie Boyd Hughlett does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609961556
Provider Type
Individual
Full Name
Hughlett, Mattie Boyd
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/4/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1420 Union Ave, Suite 230, Memphis, TN 38104-3695

(901) 383-2509

Mailing Location

4443 Garrison Ave, Memphis, TN 38128-3512

(901) 383-2501

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LSW 0000003298 Tennessee