Provider Demographics
NPI:1356781561
Name:HASTINGS, NIKOLETTE (LPC)
Entity type:Individual
Prefix:
First Name:NIKOLETTE
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:HASTINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:310 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-6323
Mailing Address - Country:US
Mailing Address - Phone:580-340-0208
Mailing Address - Fax:
Practice Address - Street 1:1824 S VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-7903
Practice Address - Country:US
Practice Address - Phone:580-540-8956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7744101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional