OrganizationActive
A New Creation Psychotherapy Services, LLC
NPI 1588058945 · Marriage & Family Therapist · Fayetteville, GA
Provider details
- NPI number
- 1588058945
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Authorized official
- Candice Cooper, Owner/Therapist
- License
- MFT001322 (GA)
Practice location
500 Lanier Ave W
Suite 908
Fayetteville, GA 30214-7636
Phone: (678) 561-4468
Mailing address
500 Lanier Ave W
Fayetteville, GA 30214-7636
Registry dates
- Enumerated
- 2015-03-24
- Last updated
- 2015-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.