Individual
MICHAEL CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6666 S SHERIDAN RD STE 230, TULSA, OK 74133-1767
(918) 207-2887
Mailing address
8834 S 90TH EAST AVE, TULSA, OK 74133-4420
(918) 207-2887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
11234
OK
101YP2500X
Professional Counselor
Primary
11234
OK
Other
Enumeration date
06/06/2019
Last updated
04/17/2026
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