Provider Demographics
NPI:1265188395
Name:HASTINGS, LEAH MONIQUE (PMHNP -BC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MONIQUE
Last Name:HASTINGS
Suffix:
Gender:
Credentials:PMHNP -BC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:MONIQUE
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 LOWER WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2747
Mailing Address - Country:US
Mailing Address - Phone:413-315-4100
Mailing Address - Fax:
Practice Address - Street 1:45 LOWER WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2747
Practice Address - Country:US
Practice Address - Phone:413-315-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2309666363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health