NPI age
8 years
Enumerated 2018-03-03
● Active Type 2 · Organization
Subpart
Creative Minds For Wellness, Llc
Creative Minds For Wellness, Llc is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Coo
Last NPPES update
2018-03-03
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
8 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 18% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-03Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
125 Lee Byrd Rd
Loganville, GA 300522310
Mailing address
4160 Logan Dr Unit 3261
Loganville, GA 300529531
Authorized official
Mandy Michelle Miller, LCSW
Coo
📞 9122007608
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Ebony Derrickson, MS DDP Counselor NPI 1881336907
- Pelesia Fields, CCC/SLP Speech-Language Pathologist NPI 1316192883
- Yvonne King-Dixon Counselor NPI 1376319400
- Lawanda Thomas Psychologist NPI 1194226738
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Subpart of Creative Center For Wellness, Incoorporated.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.