Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creative Life Center, LLC

Organization Mental Health Counselor · NPI 1780227140

Creative Life Center, LLC is a Mental Health Counselor in Grayson, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1637 Athens Hwy Ste B
Grayson, GA 30017-1768
Phone: (678) 344-8269
Fax: (888) 627-6444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X
Mental Health Counselor Taxonomy 101YM0800X
Psychiatry Physician Taxonomy 2084P0800X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1780227140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muhammad Ahmed — Ceo · (678) 344-8268
NPI enumeratedOctober 17, 2019
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address1637 Athens Hwy, Grayson, GA 30017-1768

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