Provider Demographics
NPI:1033832043
Name:STRATTON, DAVID CRAIG (LMHC, CRC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CRAIG
Last Name:STRATTON
Suffix:
Gender:M
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 TIERRA VERDE WAY
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-2664
Mailing Address - Country:US
Mailing Address - Phone:941-705-2557
Mailing Address - Fax:
Practice Address - Street 1:6600 UNIVERSITY PKWY STE 304
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-9048
Practice Address - Country:US
Practice Address - Phone:941-667-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13832101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health