Provider Demographics
NPI:1265102552
Name:HASTINGS, STEPHANIE LYNN
Entity type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:LYNN
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 STATE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1571
Mailing Address - Country:US
Mailing Address - Phone:717-979-9947
Mailing Address - Fax:
Practice Address - Street 1:623 STATE ST APT 4
Practice Address - Street 2:
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1571
Practice Address - Country:US
Practice Address - Phone:717-979-9947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)