| Doctor Name: | MICHELLE A HASTINGS |
| NPI Number: | 1053603696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC-T |
| License Number: | 4924 |
| Business Practice Address: | 902 Riverside Dr Suite 204 Waupaca, WI - 549811992 |
| Business Phone Number: | 7152561475 |
| Business Fax Number: | 7152560705 |
| Mailing Address: | 1095 Midway Rd, MENASHA |
| State: | WI |
| Postal Code: | 549521115 |
| Phone Number: | 9207203700 |
| Fax Number: | 9207203806 |
| NPI Enumeration Date: | 05/13/2011 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 4924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |