Creative Therapy Works Llc | |
4530 Lucerne Ln Sw, Lilburn, GA 30047-4529 | |
(866) 611-7855 | |
Not Available |
Full Name | Creative Therapy Works Llc |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 4530 Lucerne Ln Sw, Lilburn, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770871451 | NPI | - | NPPES |
003112414A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP007162 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Creative Therapy Works Llc 4530 Lucerne Ln Sw, Lilburn, GA 30047-4529 Ph: (866) 611-7855 | Creative Therapy Works Llc 4530 Lucerne Ln Sw, Lilburn, GA 30047-4529 Ph: (866) 611-7855 |
Kimberly Marie Hagan Ulrich, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4757 Habersham Rdg Sw, Lilburn, GA 30047 Phone: 770-366-5678 | |
Mrs. Tracy Leigh Randolph, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4129 Shady Dr Nw, Lilburn, GA 30047 Phone: 770-925-9543 | |
Ms. Angela Marie Walls, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5375 Five Forks Trickum Rd Sw, Lilburn, GA 30047 Phone: 470-545-6228 | |
Brandy Mack Harris, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4505 Brandon Dr Sw, Lilburn, GA 30047 Phone: 404-314-9375 | |
Diana M Boswell, MCD, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4191 Wash Lee Ct Sw, Lilburn, GA 30047 Phone: 770-935-7613 | |
Sandra Lenora Joseph-thomas, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Pond Springs Trce Sw, Lilburn, GA 30047 Phone: 301-452-7485 | |
Ashley Nicole Hanna, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 690 Hillcrest Rd Nw Ste 400, Lilburn, GA 30047 Phone: 770-559-9498 Fax: 678-495-5294 |