Ms Crystal Nicky Treadway, LMHC,NCC - Counselor in Port Saint Lucie, FL

Ms Crystal Nicky Treadway, LMHC,NCC is a Counselor - Mental Health based in Port Saint Lucie, Florida. Ms Crystal Nicky Treadway is licensed to practice in Florida (license number MH 12436) and her current practice location is 201 Sw Port St Lucie Blvd Ste 1, Port Saint Lucie, Florida. She can be reached at her office (for appointments etc.) via phone at (561) 315-4841.

NPI number for Ms Crystal Nicky Treadway is 1497060404 and her current mailing address is 1952 Sw Jamesport Dr, Port Saint Lucie, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497060404.

Contact Information

Ms Crystal Nicky Treadway, LMHC,NCC
201 Sw Port St Lucie Blvd Ste 1,
Port Saint Lucie, FL 34984-5001
(561) 315-4841
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Crystal Nicky Treadway
GenderFemale
SpecialityCounselor - Mental Health
Location201 Sw Port St Lucie Blvd Ste 1, Port Saint Lucie, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497060404
  • Provider Enumeration Date: 08/13/2010
  • Last Update Date: 09/22/2015

Medical Identifiers

Medical identifiers for Ms Crystal Nicky Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497060404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH 12436 (Florida)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Crystal Nicky Treadway is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Crystal Nicky Treadway, LMHC,NCC
1952 Sw Jamesport Dr,
Port Saint Lucie, FL 34953-4377

Ph: (561) 315-4841
Ms Crystal Nicky Treadway, LMHC,NCC
201 Sw Port St Lucie Blvd Ste 1,
Port Saint Lucie, FL 34984-5001

Ph: (561) 315-4841

Reviews and Comments


Counselor in Port Saint Lucie, FL

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Practice Location: 1066 Sw Dartmouth Ave, Port Saint Lucie, FL 34953
Phone: 407-476-8014    

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