Healthcare Provider Details

I. General information

NPI: 1588590053
Provider Name (Legal Business Name): SEAGLASS WELLNESS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 NORTH RD
BOYNTON BEACH FL
33435-3237
US

IV. Provider business mailing address

630 NORTH RD
BOYNTON BEACH FL
33435-3237
US

V. Phone/Fax

Practice location:
  • Phone: 561-385-3520
  • Fax:
Mailing address:
  • Phone: 561-385-3520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER CRESSWELL
Title or Position: AUTHORIZED MEMBER
Credential: ED.D., LMHC,LPC,ACS
Phone: 561-385-3520