NPI age
7 years
Enumerated 2018-09-21
● Active Type 2 · Organization
Generative Therapy Center Llc
Generative Therapy Center Llc is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bordeau
Owner
Last NPPES update
2019-05-17
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
7 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
968 Summit Ln
Ellijay, GA 305408728
Mailing address
968 Summit Ln # 1042
Ellijay, GA 305408728
Authorized official
Michel Bordeau, LCSW
Owner
📞 6465829774
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CSW006489 | PROFESSIONAL LICENSE |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
GENERATIVE THERAPY CENTER
-
GENERATIVE THERAPY CENTER
-
MICHEL BORDEAU LCSW
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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