Creative Minds For Wellness, Llc

LBN: Creative Minds For Wellness, Llc
Creative Minds For Wellness, Llc is an health care organization with primary practice located at 125 Lee Byrd Rd , Loganville GA 30052-2310. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Creative Minds For Wellness, Llc can be contacted via phone (770) 599-7512, or through Miller, Mandy Michelle via phone (912) 200-7608.

Contact Information

Primary practice address
125 Lee Byrd Rd Loganville GA 30052-2310
Phone: (770) 599-7512
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Mandy Michelle Licensed Clinical Social Worker (LCSW)
Phone: (912) 200-7608

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X CSW004354 Georgia
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1669974887
LBN Legal business name Creative Minds For Wellness, Llc
DBA Doing business as
Authorized official Miller, Mandy Michelle Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 3rd, 2018
Last updated Mar 3rd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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