Organization

Creekside Services, Llc

Clinical Social Worker in Sandy Springs, GA(View on Map)

Legal Business Name

Creekside Services, Llc

NPI Number

1407125388

NPI Type

Organization

Enumeration Date

12/21/2011

Specialties

(Taxonomies)

Code

1041C0700X
171100000X
171M00000X
171W00000X
164W00000X
175F00000X
376K00000X
133N00000X

Primary Taxonomy

Yes
No
No
No
No
No
No
No

Licenses

State

Georgia
Georgia

License Number

LMSW004998
39

Contact
Information

Purpose

Mailing
Location

Address

5800 MOUNTAIN CREEK RD NE
5800 MOUNTAIN CREEK RD NE

City

Sandy Springs
Sandy Springs

State

GA
GA

Postal Code

30328-5035
30328-5035

Country

US
US

Telephone Number

(404) 228-6554
(404) 228-6554

Authorized Official

Name

Ms. Carol Reynolds

Title or Position

PRESIDENT/CEO

Telephone Number

(404) 786-4440

Identifiers

Identifier

006602
520306

Identifier State

GA
GA

Identifier Issuer

PCH
JOINT COMMISSION HEALTHCARE ORGANIZATION

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/21/2011

Provider Address

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