Provider Demographics
NPI:1033232038
Name:DIANAHESTI, CHRISTINA (NCC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:DIANAHESTI
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6353 WASSER CV
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-1135
Mailing Address - Country:US
Mailing Address - Phone:901-545-4660
Mailing Address - Fax:
Practice Address - Street 1:6353 WASSER CV
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-1135
Practice Address - Country:US
Practice Address - Phone:901-545-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2715101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1527394Medicaid