Provider Demographics
NPI:1053814996
Name:CREAMER, BRIANA (MHS)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:CREAMER
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:BAISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:673 SUTTON DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-2227
Mailing Address - Country:US
Mailing Address - Phone:937-371-3045
Mailing Address - Fax:
Practice Address - Street 1:673 SUTTON DR
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385
Practice Address - Country:US
Practice Address - Phone:937-371-3045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health