Provider Demographics
NPI:1780177741
Name:CREEKS, LANESHA RENEE (LPC)
Entity type:Individual
Prefix:
First Name:LANESHA
Middle Name:RENEE
Last Name:CREEKS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7706 LOS GATOS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-4115
Mailing Address - Country:US
Mailing Address - Phone:214-727-7144
Mailing Address - Fax:
Practice Address - Street 1:7706 LOS GATOS DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-4115
Practice Address - Country:US
Practice Address - Phone:214-727-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75540251B00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251B00000XAgenciesCase Management