Healthcare Provider Details

I. General information

NPI: 1386923803
Provider Name (Legal Business Name): MELINDA MORTON CREEF LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 N CROATAN HWY
KILL DEVIL HILLS NC
27948-9254
US

IV. Provider business mailing address

1318 US HIGHWAY 64
MANTEO NC
27954-9672
US

V. Phone/Fax

Practice location:
  • Phone: 252-480-5452
  • Fax:
Mailing address:
  • Phone: 252-480-5452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA7897
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: