Provider Demographics
NPI:1740705680
Name:HASSLER, CHRISTI MICHELLE (MA, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:MICHELLE
Last Name:HASSLER
Suffix:
Gender:F
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:M
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC-MHSP
Mailing Address - Street 1:555 SULLIVAN KNOWLES RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-2495
Mailing Address - Country:US
Mailing Address - Phone:931-738-2081
Mailing Address - Fax:866-374-7507
Practice Address - Street 1:555 SULLIVAN KNOWLES ROAD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-3858
Practice Address - Country:US
Practice Address - Phone:931-738-2081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4300101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ055863Medicaid
TNQ036777Medicaid