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CREATIVE LIFE CENTER, LLC
NPI 1780227140
Psychiatry & Neurology - Geriatric Psychiatry in Grayson, GA

Active since October 17, 2019
1637 ATHENS HWY STE B, GRAYSON, GA 30017(678) 344-8269(888) 627-6444 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2021, Oct 17, 2019 (2 updates tracked since 2019).

About Creative Life Center, Llc NPPES

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

CREATIVE LIFE CENTER, LLC (NPI 1780227140) is a healthcare organization registered as a geriatric psychiatry in Grayson, Georgia and active in the NPI registry since October 2019. The organization lists Muhammad S Ahmed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780227140
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameCREATIVE LIFE CENTER, LLC
Location Address1637 ATHENS HWY STE BGrayson, GA 30017-1768
Mailing Address1637 Athens HwyGrayson, GA 30017-1768 · (678) 344-8268 · Fax (888) 627-6444
Phone(678) 344-8269
Fax(888) 627-6444
Organization SubpartNo
Authorized OfficialMuhammad S AhmedCeo · (678) 344-8268
Enumeration DateOctober 17, 2019
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1780227140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
1637 ATHENS HWY STE B, Grayson, GA 30017
Open in Google Maps ↗

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

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

ERIN DESTINY WILSON
Speech-Language Pathologist
1637 ATHENS HWY STE B
GRAYSON, GA 30017
Gwinnett County (770) 995-9600

Frequently Asked Questions

What is CREATIVE LIFE CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1780227140, enumerated as an "organization" on October 17, 2019.

Where is the provider located?

The provider is located at 1637 ATHENS HWY STE B GRAYSON, GA 30017 and the phone number is (678) 344-8269.

What is the provider's specialty?

Psychiatry & Neurology with taxonomy code 2084P0805X and a focus in Geriatric Psychiatry.