Treadway, Crystal Nicky

Treadway, Crystal Nicky is an sole proprietor health care provider with primary practice located at 201 Sw Port St Lucie Blvd Ste 1 , Port Saint Lucie FL 34984-5001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Treadway, Crystal Nicky can be contacted via phone (561) 315-4841.

Contact Information

Primary practice address
201 Sw Port St Lucie Blvd Ste 1 Port Saint Lucie FL 34984-5001
Phone: (561) 315-4841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 12436 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1497060404
LBN Legal business name Treadway, Crystal Nicky
Credentials LMHC,NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2010
Last updated Sep 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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