P Praxis·MD
● Active Type 2 · Organization

Kids Creek Therapy

Clinic/Center·Suwanee, GA· NPI 1700983772 · Enumerated 2006 · 19 years on NPI
Kids Creek Therapy is 1 of 318 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-09-20
Primary specialty
Clinic/Center
Plus 6 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Darius
Admin Director
Last NPPES update
2023-10-02
Source: monthly bulk 2026-05

How this organization compares

Across 318 active clinic/center providers in Georgia.

NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
6
In the 29% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
4055 Johns Creek Pkwy Ste A
Suwanee, GA 300241299
📞 7708885221fax 6786805929
Mailing address
4055 Johns Creek Pkwy Ste A
Suwanee, GA 300241299
📞 7708885221fax 6786805929

Authorized official

Myrlaine Darius
Admin Director
📞 7708885221

Individual providers at this organization

11 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM1300X
  • Assistant Behavior Analyst
    An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed...
    taxonomy 106E00000X
  • Behavior Analyst
    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts...
    taxonomy 103K00000X
  • Behavior Technician
    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
    taxonomy 106S00000X
  • Occupational Therapist
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    GA license #OT003747GA license #OT001067GA license #OT003625GA license #OT001466 taxonomy 225X00000X
  • Physical Therapist
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT008827GA license #PT008420 taxonomy 225100000X
  • Speech-Language Pathologist
    The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
    GA license #SLP004267GA license #SLP005105GA license #SLP005895GA license #SLP006187GA license #SLP004972 taxonomy 235Z00000X

Practice context

Multi-provider organization. 11 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 318 Clinic/Center providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related