MR. DOUGLAS EDWARD CRADDOCK LMHC, LPCC
NPI 1174763783
Counselor - Professional in Clearwater, FL

Active since February 23, 2009
25400 US 19 N, SUITE 107, CLEARWATER, FL 33763(727) 791-8714 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Douglas Edward Craddock Lmhc, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS EDWARD CRADDOCK LMHC, LPCC (NPI 1174763783) is an individual professional provider in Clearwater, Florida, licensed in Ohio (E-2588) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1174763783
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DOUGLAS EDWARD CRADDOCKCredential: LMHC, LPCC
Location Address25400 US 19 N, SUITE 107Clearwater, FL 33763-2149
Mailing Address25400 Us Highway 19 N, Suite 107Clearwater, FL 33763-2149 · (727) 791-8714
Sole ProprietorYes
Enumeration DateFebruary 23, 2009
Last NPPES UpdateJuly 13, 2011
NPI 1174763783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E-2588
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH10055 (FL)
25400 US 19 N, Clearwater, FL 33763

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
25400 US 19 N, SUITE 175
CLEARWATER, FL 33763
Preferred Provider Organization
25400 US 19 N, STE 175
CLEARWATER, FL 33763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Craddock's NPI number?

The NPI number for Douglas Craddock is 1174763783. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Douglas Craddock located?

Douglas Craddock practices at 25400 Us 19 N Suite 107, Clearwater, FL 33763. The listed phone number is (727) 791-8714.

What is Douglas Craddock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Douglas Craddock was last updated on July 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.