Provider Demographics
NPI:1902059975
Name:HASTINGS, MARGARET R0SE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:R0SE
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-5002
Mailing Address - Country:US
Mailing Address - Phone:952-457-2288
Mailing Address - Fax:866-311-5436
Practice Address - Street 1:4601 EXCELSIOR BLVD
Practice Address - Street 2:570
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-4960
Practice Address - Country:US
Practice Address - Phone:952-457-2288
Practice Address - Fax:866-311-5436
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional