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Generative Therapy Center LLC

Community/Behavioral Health Agency in Ellijay, GA · enumerated 2018 · authorized official Michel Bordeau, Owner.

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

National Provider Identifier

1861976144

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Registry record

Entity type Organization (Type 2)
Legal business name Generative Therapy Center LLC
Other name <Unavail>
Practice address 968 Summit Ln, Ellijay, GA, 30540
Phone (646) 582-9774
Enumeration date Sep 21, 2018
Last updated in NPPES May 17, 2019

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Michel Bordeau
Title Owner
Phone (646) 582-9774

Other identifiers

Identifier Type State Issuer
CSW006489 Other GA PROFESSIONAL LICENSE

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 the NPI number for Generative Therapy Center LLC?
The NPI for Generative Therapy Center LLC is 1861976144, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Generative Therapy Center LLC?
NPPES lists Michel Bordeau (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-17.