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CREATIVE MINDS FOR WELLNESS, LLC
NPI 1669974887
Clinic/Center - Mental Health (Including Community Mental Health Center) in Loganville, GA

Active since March 03, 2018
125 LEE BYRD RD, LOGANVILLE, GA 30052(770) 599-7512 Get Directions Write a Review

NPPES record last updated: March 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creative Minds For Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE MINDS FOR WELLNESS, LLC (NPI 1669974887) is a healthcare organization registered as a mental health (including community mental health center) in Loganville, Georgia and active in the NPI registry since March 2018. The organization lists Mandy Michelle Miller, Coo, as its authorized official.

NPPES Registry Identity

NPI1669974887
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCREATIVE MINDS FOR WELLNESS, LLC
Location Address125 LEE BYRD RDLoganville, GA 30052-2310
Mailing Address4160 Logan Dr Unit 3261Loganville, GA 30052-9531 · (770) 599-7512
Phone(770) 599-7512
Organization SubpartYesParent: Creative Center For Wellness, Incoorporated
Authorized OfficialMandy Michelle MillerCoo · (912) 200-7608
Enumeration DateMarch 3, 2018
✔ NPI 1669974887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in GA · CSW004354
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
125 LEE BYRD RD, Loganville, GA 30052
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAWANDA THOMAS
Psychologist
125 LEE BYRD RD
LOGANVILLE, GA 30052
Gwinnett County (770) 599-7512
MRS. PELESIA A FIELDS CCC/SLP
Speech-Language Pathologist
125 LEE BYRD RD
LOGANVILLE, GA 30052
Gwinnett County (914) 924-3768
YVONNE M KING-DIXON
Counselor (Mental Health)
125 LEE BYRD RD
LOGANVILLE, GA 30052
Gwinnett County (678) 883-8609
AWINO SPEAKS LLC
Clinic/Center (Hearing and Speech)
125 LEE BYRD RD
LOGANVILLE, GA 30052
Gwinnett County (914) 924-3768
MS. EBONY NICOLE DERRICKSON MS DDP
Counselor (Mental Health)
125 LEE BYRD RD
LOGANVILLE, GA 30052
Gwinnett County (678) 883-8609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creative Minds For Wellness, LLC's NPI number?

The NPI number for Creative Minds For Wellness, LLC is 1669974887. It was assigned to this organization in the NPPES registry on March 3, 2018.

Where is Creative Minds For Wellness, LLC located?

Creative Minds For Wellness, LLC is located at 125 Lee Byrd Rd, Loganville, GA 30052. The listed phone number is (770) 599-7512.

What is Creative Minds For Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Creative Minds For Wellness, LLC was last updated on March 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.