1881890317 NPI number — MS. MARGARET SANDIN HUSTAD M. ED., NCC, LPC

Table of content: DR. SHARON E MARLOWE MD (NPI 1134196074)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881890317 NPI number — MS. MARGARET SANDIN HUSTAD M. ED., NCC, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUSTAD
Provider First Name:
MARGARET
Provider Middle Name:
SANDIN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M. ED., NCC, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUSTAD
Provider Other First Name:
PEGGY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1881890317
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4336 OAKCREST LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HERMITAGE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37076-4337
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-316-0021
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4336 OAKCREST LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HERMITAGE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37076-4337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-316-0021
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  3395 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3395 . This is a "LICENSED PROF. COUNSELOR" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 30263 . This is a "NATIONAL CERT. COUNSELOR" identifier . This identifiers is of the category "OTHER".




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