# CREATE MINDFUL MOMENTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336013143
- **Authorized official:** MAYA SCARBROUGH (OWNER)
- **Authorized official phone:** (803) 833-9792

## Contact information

- **Practice address:** 454 ANDERSON RD S STE 402C, ROCK HILL, SC 29730-3398
- **Practice address phone:** (803) 833-9792
- **Mailing address:** 16420 HAWFIELD FARMS RD APT 1922, CHARLOTTE, NC 28277-4248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2025
- **Last updated:** 10/03/2025