Provider Demographics
NPI:1609238203
Name:HASTINGS, CHRISTOPHER HARLEY (MSC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:HARLEY
Last Name:HASTINGS
Suffix:
Gender:M
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-3002
Mailing Address - Country:US
Mailing Address - Phone:605-348-6813
Mailing Address - Fax:
Practice Address - Street 1:1501 CENTRE ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-3002
Practice Address - Country:US
Practice Address - Phone:605-348-6813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor