Provider Demographics
NPI:1700467305
Name:CREASY, ADAM
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:CREASY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 DWYCE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-2607
Mailing Address - Country:US
Mailing Address - Phone:512-748-1198
Mailing Address - Fax:
Practice Address - Street 1:1305 DWYCE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-2607
Practice Address - Country:US
Practice Address - Phone:512-748-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling