Provider Demographics
NPI:1871209940
Name:HOOVEN, LORI HASTY (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:HASTY
Last Name:HOOVEN
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5821 CHASEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4116
Mailing Address - Country:US
Mailing Address - Phone:615-500-3136
Mailing Address - Fax:
Practice Address - Street 1:4325 HILLSBORO PIKE STE 332
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3305
Practice Address - Country:US
Practice Address - Phone:615-500-3136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health