Organization
CREATIVE CENTER FOR WELLNESS, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY MICHELLE MILLER LCSW (CEO)
(770) 599-7508
Entity
Organization
Contact information
Practice address
204 W SPRING ST, MONROE, GA 30655-1914
(707) 599-7508
(866) 734-7631
Mailing address
204 W SPRING ST, MONROE, GA 30655-1914
(707) 599-7508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW004354
GA
Other
Enumeration date
12/16/2017
Last updated
04/09/2025
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