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Organization
THE CREATIVE PALACE
Active
Organization
THE CREATIVE PALACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA HART (FOUNDER/CEO)
(706) 267-6037
Entity
Organization
Contact information
Practice address
2994 GALAHAD WAY, AUGUSTA, GA 30909-9150
(706) 267-6037
Mailing address
2994 GALAHAD WAY, AUGUSTA, GA 30909-9150
(706) 267-6037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2026
Last updated
08/24/2026
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