Basic Information
Provider Information
NPI: 1003153396
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASTINGS
FirstName: ALISON
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1616 CORNWALL AVE
Address2: #205
City: BELLINGHAM
State: WA
PostalCode: 982254648
CountryCode: US
TelephoneNumber: 3606713574
FaxNumber:  
Practice Location
Address1: 1616 CORNWALL AVE
Address2: #205
City: BELLINGHAM
State: WA
PostalCode: 98225
CountryCode: US
TelephoneNumber: 3606713574
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/07/2013
LastUpdateDate: 08/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000XLH60628807WAN Behavioral Health & Social Service ProvidersCounselor 
101YM0800XLH 60628807WAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home