Most Relevant Information
Provider Data
| NPI Number: | 1003534082 |
| Provider Name: | MARY TRISH REYNOLDS-HASTINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 5450 |
Most Important Dates
| Enumeration Date: | 08/16/2022 |
| Last Updated: | 08/16/2022 |
Provider Practice Location
149 BELLE FOREST CIR # B
NASHVILLE
TN
372212103
Practice Location Phone/Fax
| Phone: | 6159087474 |
| Fax: |
Provider Mailing Location
149 BELLE FOREST CIR # B
NASHVILLE
TN
372212103
Provider Mailing Phone/Fax
| Phone: | 6159087474 |
| Fax: |