Healthcare Provider Details

I. General information

NPI: 1265041487
Provider Name (Legal Business Name): MARGARET ANN CREEGAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 10/20/2020
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8763 SW 27TH LN
GAINESVILLE FL
32608-9338
US

IV. Provider business mailing address

708 E 51ST ST
SAVANNAH GA
31405-2463
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-7810
  • Fax:
Mailing address:
  • Phone: 904-732-0379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18203
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: