KIDS CREEK THERAPY - NPI 1700983772 - Clinic/Center in Suwanee, GA

Q: What is Kids Creek Therapy's NPI number?

The NPI number for Kids Creek Therapy is 1700983772. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Kids Creek Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Kids Creek Therapy NPPES

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

KIDS CREEK THERAPY (NPI 1700983772) is a healthcare organization registered as a multi-specialty in Suwanee, Georgia and active in the NPI registry since September 2006. The organization lists Myrlaine Darius, Admin Director, as its authorized official.

NPPES Registry Identity

NPI1700983772

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameKIDS CREEK THERAPY

Location Address4055 JOHNS CREEK PKWY STE ASuwanee, GA 30024-1299

Mailing Address4055 Johns Creek Pkwy Ste ASuwanee, GA 30024-1299 · (770) 888-5221 · Fax (678) 680-5929

Phone(770) 888-5221

Fax(678) 680-5929

Organization SubpartNo

Authorized OfficialMyrlaine DariusAdmin Director · (770) 888-5221

Enumeration DateSeptember 20, 2006

Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1700983772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedAssistant Behavior AnalystTaxonomy 106E00000X

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedPhysical TherapistTaxonomy 225100000X · License PT008827 (GA), PT008420 (GA)

Also ListedOccupational TherapistTaxonomy 225X00000X · License OT003747 (GA), OT001067 (GA), OT003625 (GA), OT001466 (GA)

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License SLP004267 (GA), SLP005105 (GA), SLP005895 (GA), SLP006187 (GA), SLP004972 (GA)

4055 JOHNS CREEK PKWY STE A, Suwanee, GA 30024

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

ELIZABETH GRACE CHILDERS

Speech-Language Pathologist