Provider Demographics
NPI:1376084020
Name:CREEL, JOY PATRICIA (LPC)
Entity Type:Individual
Prefix:MISS
First Name:JOY
Middle Name:PATRICIA
Last Name:CREEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43237 CAPE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2334
Mailing Address - Country:US
Mailing Address - Phone:810-287-8822
Mailing Address - Fax:
Practice Address - Street 1:43237 CAPE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-2334
Practice Address - Country:US
Practice Address - Phone:810-287-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014431101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional