Provider Demographics
NPI:1700428083
Name:CREATIVE COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:CREATIVE COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, NCC, CACII
Authorized Official - Phone:404-957-8149
Mailing Address - Street 1:4150 SNAPFINGER WOODS DR STE 208
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3417
Mailing Address - Country:US
Mailing Address - Phone:404-957-8149
Mailing Address - Fax:404-393-6187
Practice Address - Street 1:4150 SNAPFINGER WOODS DR STE 208
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3417
Practice Address - Country:US
Practice Address - Phone:404-957-8149
Practice Address - Fax:404-393-6187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health