Provider Demographics
NPI:1619856317
Name:HASTINGS, NATASHA (LPC-A)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:X
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 ROSEBERRY LN APT 1102
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-2845
Mailing Address - Country:US
Mailing Address - Phone:678-764-7849
Mailing Address - Fax:
Practice Address - Street 1:137 ROSEBERRY LN APT 1102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-2845
Practice Address - Country:US
Practice Address - Phone:678-764-7849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health