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Provider Information for 1922889880


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MICHAEL CREECH LMHC, NCC, CAP


Sex: Male

NPI: 1922889880
Last Updated: 2025-02-17
Certification Date: 2025-02-17

Details

NameValue
NPI1922889880
Enumeration Date2023-10-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 100 N HOWARD ST STE R
SPOKANE, WA 99201-0508
United States

Phone: 850-778-2278 | Fax:
 
Primary Practice Address 100 N HOWARD ST STE R
SPOKANE, WA 99201-0508
United States

Phone: 850-778-2278 | Fax:
 
Secondary Practice Address(es)

1064 LAWHON MILL RD
CRAWFORDVILLE, FL 32327
United States

Phone: 850-491-5117 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)FLCAP0100303
No 101YM0800X - Counselor - Mental HealthFLMH24128
No 101YP1600X - Counselor - PastoralFLOrdained
Yes 101YM0800X - Counselor - Mental HealthWALH61600634