Provider Demographics
NPI:1225421621
Name:CRESSWELL, HEATHER ANNE (LMHC, LPC, LPCC, ACS)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANNE
Last Name:CRESSWELL
Suffix:
Gender:F
Credentials:LMHC, LPC, LPCC, ACS
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ANNE
Other - Last Name:BOLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:107 YACHT CLUB WAY APT 112
Mailing Address - Street 2:
Mailing Address - City:HYPOLUXO
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6013
Mailing Address - Country:US
Mailing Address - Phone:561-385-3520
Mailing Address - Fax:
Practice Address - Street 1:2320 S SEACREST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6516
Practice Address - Country:US
Practice Address - Phone:561-518-7950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health