Provider Demographics
NPI:1922805498
Name:CREAMER, AMY BERLYNNE (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BERLYNNE
Last Name:CREAMER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WILDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-2652
Mailing Address - Country:US
Mailing Address - Phone:903-646-0664
Mailing Address - Fax:
Practice Address - Street 1:913 W LOOP 281 STE 122
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2929
Practice Address - Country:US
Practice Address - Phone:903-646-0664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional