Individual provider · Type 1 NPI

Crystal Nicky Treadway, LMHC, NCC

Mental Health Counselor · Port St. Lucie, FL

NPI number 1497060404 Active

Practice location

201 SW Port St Lucie Blvd Ste 1
Port St. Lucie, FL 34984-5001

Call (561) 315-4841 Map

Mailing address

1952 SW Jamesport Dr
Port St. Lucie, FL 34953-4377

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 12436 (FL)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497060404

Crystal Nicky Treadway, LMHC, NCC's National Provider Identifier is 1497060404, issued on Aug 13, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on Sep 22, 2015.