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Active NPI 1952859829 Organization (Entity Type 2)

Creating A Difference

Community/Behavioral Health • Morrow, GA

About Creating A Difference NPI 1952859829 Summary

Creating A Difference is a verified healthcare organization specializing in Community/Behavioral Health operating in Morrow, GA. Located at 1333 MOUNT ZION RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1952859829.

Administrative operations and authorized compliance are overseen by Sir Allen Pegues (Licensed Professional Counselor).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1333 Mount Zion Rd

Morrow, GA 302602357

Telephone 7708825895

Authorized Official Information

Authorized Contact Name

Sir Allen Pegues , M.ED., LPC, NCC

Title / Role

Licensed Professional Counselor

Official Telephone

7708825895

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Sir Allen Pegues NPI 1447778410

Counselor - Professional

Morrow, GA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active September 20, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 20, 2016

Registered at 1333 MOUNT ZION RD, MORROW, GA 302602357 (Tel: 7708825895)

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Updated Business Mailing Address September 20, 2016

Registered at 413 ARBOR CIR, TUCKER, GA 300848603 (Tel: 7708825895)

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Organization / Clinic Name Updated September 20, 2016

Operating as CREATING A DIFFERENCE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2016

Community/Behavioral Health (License #008654 in GA)

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Initial NPI Registration & Enumeration September 20, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1952859829

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: September 20, 2016

Last Update: September 20, 2016

Update or Correct Listing

Mailing Address

413 Arbor Cir

Tucker, GA 300848603

Phone: 7708825895

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.