Creative Center for Wellness, Incorporated
NPI 1154837946ActiveOrganization· Social Worker, Clinical· Monroe, GA
Social Worker, Clinical in Monroe, Georgia, registered in NPPES in December 2017. The authorized official on file is Mandy Michelle Miller, LCSW, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154837946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2017 |
| Last updated in NPPES | Apr 9, 2025 |
| Certified by provider | Apr 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW004354 | GA |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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