Provider Demographics
NPI:1174649115
Name:CREASY, MARGARET M (LPC, LMFT, LSOTP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:CREASY
Suffix:
Gender:F
Credentials:LPC, LMFT, LSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 EAGLE TRL
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-1966
Mailing Address - Country:US
Mailing Address - Phone:254-542-6692
Mailing Address - Fax:254-547-3064
Practice Address - Street 1:214 S 2ND ST
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2244
Practice Address - Country:US
Practice Address - Phone:254-547-8280
Practice Address - Fax:254-547-3064
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9017101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health