Provider Demographics
NPI:1811394950
Name:HASTINGS, NATHANIEL ELI (LMFT #LF60616528)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:ELI
Last Name:HASTINGS
Suffix:
Gender:M
Credentials:LMFT #LF60616528
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5414 S ORCAS ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2539
Mailing Address - Country:US
Mailing Address - Phone:206-617-1456
Mailing Address - Fax:
Practice Address - Street 1:5414 S ORCAS ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2539
Practice Address - Country:US
Practice Address - Phone:206-617-1456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-03
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60445625106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist