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Kids Creek Therapy

Multi-Specialty Clinic/Center in Suwanee, GA · enumerated 2006 · authorized official Myrlaine Darius, Admin Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700983772

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Kids Creek Therapy
Practice address 4055 Johns Creek Pkwy Ste A, Suwanee, GA, 30024
Fax (678) 680-5929
Enumeration date Sep 20, 2006
Last updated in NPPES Oct 2, 2023

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary
106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers Secondary
106S00000X Behavior Technician Behavioral Health & Social Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT008420 (GA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT008827 (GA) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT003747 (GA) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT001067 (GA) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT003625 (GA) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT001466 (GA) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP004267 (GA) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP005105 (GA) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP005895 (GA) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP004972 (GA) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP006187 (GA) Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Myrlaine Darius
Title Admin Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Kids Creek Therapy?
Kids Creek Therapy is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-02.