Healthcare Provider Details

I. General information

NPI: 1598643124
Provider Name (Legal Business Name): CHERISHED CREATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 SPARROW LN
JEFFERSON GA
30549-7230
US

IV. Provider business mailing address

116 SPARROW LN
JEFFERSON GA
30549-7230
US

V. Phone/Fax

Practice location:
  • Phone: 606-231-2094
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ALI MAHONY
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 606-231-2094