| Doctor Name: | MS. ANTOINETTE M HAGLEY-NANTON |
| NPI Number: | 1396936720 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MH, MT. |
| License Number: | MH 8480 |
| Business Practice Address: | 1463 Oakfield Dr. Suite 113 Brandon, FL - 33511 |
| Business Phone Number: | 8135148280 |
| Business Fax Number: | 8135148281 |
| Mailing Address: | 4422 E Columbus Dr., TAMPA |
| State: | FL |
| Postal Code: | 33605 |
| Phone Number: | 8135148280 |
| Fax Number: | 8135148281 |
| NPI Enumeration Date: | 08/09/2007 |
| NPI Last Update Date: | 01/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | MH 8480 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |