GENERATIVE THERAPY CENTER
NPI 1861976144
Community/Behavioral Health in Ellijay, GA

Active since September 21, 2018
968 SUMMIT LN, ELLIJAY, GA 30540(646) 582-9774 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2019, Sep 21, 2018 (2 updates tracked since 2018).

About Generative Therapy Center NPPES

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

GENERATIVE THERAPY CENTER (NPI 1861976144) is a healthcare organization registered as a community/behavioral health in Ellijay, Georgia and active in the NPI registry since September 2018. The organization lists Michel Bordeau, Owner, as its authorized official.

NPPES Registry Identity

NPI1861976144
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGENERATIVE THERAPY CENTER LLC
Location Address968 SUMMIT LNEllijay, GA 30540-8728
Mailing Address968 Summit Ln # 1042Ellijay, GA 30540-8728 · (646) 582-9774
Organization SubpartNo
Authorized OfficialMichel BordeauOwner · (646) 582-9774
Enumeration DateSeptember 21, 2018
Last NPPES UpdateMay 17, 20192 updates tracked since enumeration
NPI 1861976144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
968 SUMMIT LN, Ellijay, GA 30540

Other Names 2

Doing Business AsGenerative Therapy Center
Doing Business AsMichel Bordeau Lcsw

Other Identifiers 1

OtherCSW006489GA · Professional License

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 Generative Therapy Center LLC's NPI number?

The NPI number for Generative Therapy Center LLC is 1861976144. It was assigned to this organization in the NPPES registry on September 21, 2018. The provider is doing business as Generative Therapy Center and Michel Bordeau Lcsw.

Where is Generative Therapy Center LLC located?

Generative Therapy Center LLC is located at 968 Summit Ln, Ellijay, GA 30540. The listed phone number is (646) 582-9774.

What is Generative Therapy Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Generative Therapy Center LLC was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.