Kids Creek Therapy

LBN: Kids Creek Therapy
Kids Creek Therapy is an health care organization with primary practice located at 4055 Johns Creek Pkwy Ste A , Suwanee GA 30024-1299. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Kids Creek Therapy can be contacted via phone (770) 888-5221, or through Darius, Myrlaine via phone (770) 888-5221.

Contact Information

Primary practice address
4055 Johns Creek Pkwy Ste A Suwanee GA 30024-1299
Phone: (770) 888-5221
Fax: (678) 680-5929
Website:
Map and Directions
Authorized official contact:
Name: Darius, Myrlaine
Phone: (770) 888-5221

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008420 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008827 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003747 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT001067 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003625 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT001466 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004267 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005105 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005895 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004972 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006187 Georgia
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1700983772
LBN Legal business name Kids Creek Therapy
DBA Doing business as
Authorized official Darius, Myrlaine
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 2nd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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